Prior Auth Required

22856 - Total disc arthroplasty (artificial disc), 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 / ServiceTotal disc arthroplasty (artificial disc), Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan
Procedure / Service Description

with or without cast; 8 or more vertebral documentation of medical necessity - segments including operative report. No review needed for member age 18 and under. 22856 Total disc arthroplasty (artificial disc), Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan anterior approach, including discectomy of Service of care, and documentation of medical with end plate preparation (includes 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.