Prior Auth Required

22554 - Arthrodesis, anterior interbody technique, Prior Authorization Required Medical Necessity Including Site No review needed for: Virginia

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceArthrodesis, anterior interbody technique, Prior Authorization Required Medical Necessity Including Site No review needed for: Virginia
Procedure / Service Description

below C2, each additional interspace (List - separately in addition to code for separate procedure) 22554 Arthrodesis, anterior interbody technique, Prior Authorization Required Medical Necessity Including Site No review needed for: Virginia including minimal discectomy to prepare of Service Mason/910565539. Submit recent history interspace (other than for decompression); and physical, plan of care, and

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.