CPT 22551 · Other Procedure · Ambetter
ACDF — Anterior Cervical Discectomy and Fusion at Ambetter.
How Ambetter approaches CPT 22551 (ACDF — Anterior Cervical Discectomy and Fusion) for prior-authorization review: at last review on 2026-03-15, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-03-15
Criteria summary
High-level themes from the Ambetter policy of record for CPT 22551. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 12 weeks of conservative care typically required.
- Imaging concordance documentation required.
See the full Ambetter criteria.
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