Prior Auth Required

22812 - Arthrodesis, anterior, for spinal deformity, Prior Authorization Required Medical Necessity Submit History and Physical

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceArthrodesis, anterior, for spinal deformity, Prior Authorization Required Medical Necessity Submit History and Physical
Procedure / Service Description

with or without cast; 4 to 7 vertebral documentation of medical necessity - segments including operative report. No review needed for member age 18 and under. 22812 Arthrodesis, anterior, for spinal deformity, Prior Authorization Required Medical Necessity Submit History and Physical, with or without cast; 8 or more vertebral documentation of medical necessity segments including operative report. No review

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.