CPT 22551 · Other Procedure · Medicare (FCSO MAC)
ACDF — Anterior Cervical Discectomy and Fusion at Medicare (FCSO MAC).
How Medicare (FCSO MAC) approaches CPT 22551 (ACDF — Anterior Cervical Discectomy and Fusion) for prior-authorization review: at last review on 2026-05-03, the policy covers this code without prior authorization.
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Criteria summary
High-level themes from the Medicare (FCSO MAC) 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: CMS IOM 100-08 reasonable-and-necessary; First Coast follows national Medicare standard
See the full Medicare (FCSO MAC) criteria.
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