Prior Auth Required

22869 - decompression or fusion, including image guidance when performed, lumbar; single level

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Procedure / Servicedecompression or fusion, including image guidance when performed, lumbar; single level
Procedure / Service Description

Insertion of interlaminar/interspinous process stabilization/distraction device, without open - 22868 (List separately in addition to code for primary procedure) Insertion of interlaminar/interspinous process stabilization/distraction device, without open 22869 decompression or fusion, including image guidance when performed, lumbar; single level Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; second level

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  • Submit clinical notes if requested by the plan
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