CPT 22551 · Spine Surgery · BCBS Texas
ACDF — Anterior Cervical Discectomy and Fusion at BCBS Texas.
How BCBS Texas approaches CPT 22551 (ACDF — Anterior Cervical Discectomy and Fusion) for prior-authorization review: at last review on 2025-09-01, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2025-09-01
Policy number
BCBSTX-MP-22551Criteria summary
High-level themes from the BCBS Texas policy of record for CPT 22551. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 6 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: Blue Cross Blue Shield of Texas medical policy — Spine Surgery
See the full BCBS Texas criteria.
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