CPT 22551 · Other Procedure · Medicare (Palmetto GBA MAC)
ACDF — Anterior Cervical Discectomy and Fusion at Medicare (Palmetto GBA MAC).
How Medicare (Palmetto GBA MAC) approaches CPT 22551 (ACDF — Anterior Cervical Discectomy and Fusion) for prior-authorization review: at last review on 2026-04-15, the policy covers this code with prior authorization required.
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L39788Criteria summary
High-level themes from the Medicare (Palmetto GBA MAC) 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.
Source: LCD - Cervical Fusion (L39788)
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