Prior Auth Required

22612 - Arthrodesis, posterior or posterolateral Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceArthrodesis, posterior or posterolateral Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan
Procedure / Service Description

Services (IHS) facilities. No review - needed for member age 18 and under. 22612 Arthrodesis, posterior or posterolateral Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan technique, single level; lumbar (with or of Service of care, and documentation of medical without lateral transverse technique) 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.