Prior Auth Required

22630 - LCD L35936 Facet Joint Interventions

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceLCD L35936 Facet Joint Interventions
Procedure / Service Description

Intradiscal Procedures (TIPs) NCD - Augmentation (PVA) for Osteoporotic 22226, 22510-22515, 22526, 22527, 22532-22534, 22548, 22551, 22552, 22554 Vertebral Compression Fracture (VCF) LCD L35936 Facet Joint Interventions 22556, 22558, 22585, 22586, 22590, 22595, 22600, 22610, 22612, 22614, 22630, for Pain Management; Psychiatric 22632-22634, 22800, 22802, 22804, 22808, 22810, 22812, 22818, 22819, 22830 Inpatient Hospitalization; Medicare

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.