CPT 22558 · Spine Surgery · BCBS Federal Employee Program
Arthrodesis, Anterior Interbody — Lumbar (ALIF/DLIF/XLIF/LLIF/OLIF) at BCBS Federal Employee Program.
How BCBS Federal Employee Program approaches CPT 22558 (Arthrodesis, Anterior Interbody — Lumbar (ALIF/DLIF/XLIF/LLIF/OLIF)) for prior-authorization review: at last review on 2026-05-02, the policy covers this code with prior authorization required.
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FEP-Spine-2026Criteria summary
High-level themes from the BCBS Federal Employee Program policy of record for CPT 22558. 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: BCBS FEP Brochure 2026 + BCBSA Evidence Positioning Statement — Spine Surgery
See the full BCBS Federal Employee Program criteria.
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