Prior Auth Required

22634 - Arthrodesis, combined posterior or Prior Authorization Required Medical Necessity History and Physical, operative report

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceArthrodesis, combined posterior or Prior Authorization Required Medical Necessity History and Physical, operative report
Procedure / Service Description

single interspace and segment; lumbar Services (IHS) facilities. No review - needed for member age 18 and under. 22634 Arthrodesis, combined posterior or Prior Authorization Required Medical Necessity History and Physical, operative report, posterolateral technique with posterior documentation of conservative measures. interbody technique including laminectomy No review needed for member age 18

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.