Prior Auth Required

22558 - Arthrodesis, anterior interbody technique, Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan

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 Submit recent history and physical, plan
Procedure / Service Description

NOT apply to Indian Health Services - members under the age of 18. 22558 Arthrodesis, anterior interbody technique, Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan including minimal discectomy to prepare of Service of care, and documentation of medical interspace (other than for decompression); necessity including for site of service. Site

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.