Prior Auth Required

22614 - Arthrodesis, posterior or posterolateral technique, single interspace; each additional interspace (List

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceArthrodesis, posterior or posterolateral technique, single interspace; each additional interspace (List
Procedure / Service Description

decompression); each additional interspace (List separately in addition to code for primary procedure) - 22612 Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed) 22614 Arthrodesis, posterior or posterolateral technique, single interspace; each additional interspace (List separately in addition to code for primary procedure) 22630 Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.