Prior Auth Required

22869 - Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceInsertion of interlaminar/interspinous process stabilization/distraction device, without open decompression
Procedure / Service Description

intervertebral disc space or vertebral body defect without interbody arthrodesis, each contiguous defect (List - 22867 Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level 22869 Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level 22899 Unlisted procedure, spine

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.