CPT 22842 · Other Procedure · Anthem BCBS
Posterior Segmental Instrumentation — 3-6 Segments at Anthem BCBS.
How Anthem BCBS approaches CPT 22842 (Posterior Segmental Instrumentation — 3-6 Segments) for prior-authorization review: at last review on 2026-01-01, the policy covers this code with prior authorization required.
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MSK03-1125.1-UC0126Criteria summary
High-level themes from the Anthem BCBS policy of record for CPT 22842. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
Source: Carelon Clinical Appropriateness Guidelines — Spine Surgery (MSK03-1125.1-UC0126)
See the full Anthem BCBS criteria.
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