CPT 22558 · Spine Surgery · Georgia Medicaid
Arthrodesis, Anterior Interbody — Lumbar (ALIF/DLIF/XLIF/LLIF/OLIF) at Georgia Medicaid.
How Georgia Medicaid 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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GAMed-Surg-2026Criteria summary
High-level themes from the Georgia Medicaid 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: GA Department of Community Health — Medicaid Provider Manual
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