CPT 22586 · Fusion — Anterior · UnitedHealthcare Medicare Advantage
Arthrodesis, Pre-Sacral Interbody — L5-S1 at UnitedHealthcare Medicare Advantage.
How UnitedHealthcare Medicare Advantage approaches CPT 22586 (Arthrodesis, Pre-Sacral Interbody — L5-S1) for prior-authorization review: at last review on 2026-05-08, the policy covers this code with prior authorization required.
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Criteria summary
High-level themes from the UnitedHealthcare Medicare Advantage policy of record for CPT 22586. 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: UnitedHealthcare Medicare Advantage Medical Policy (National)
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