CPT 22633 · Other Procedure · Florida Blue
Arthrodesis, Combined Posterior + Posterior Interbody — Lumbar at Florida Blue.
How Florida Blue approaches CPT 22633 (Arthrodesis, Combined Posterior + Posterior Interbody — Lumbar) for prior-authorization review: at last review on 2026-03-15, the policy covers this code with prior authorization required.
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Criteria summary
High-level themes from the Florida Blue policy of record for CPT 22633. 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: Florida Blue Medical Coverage Guideline 02-30000-15 — Spinal Fusion
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