CPT 22842 · Other Procedure · Humana
Posterior Segmental Instrumentation — 3-6 Segments at Humana.
How Humana approaches CPT 22842 (Posterior Segmental Instrumentation — 3-6 Segments) for prior-authorization review: at last review on 2025-12-22, the policy covers this code with prior authorization required.
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Spine Surgery (HUM-2235-000)Criteria summary
High-level themes from the Humana policy of record for CPT 22842. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 26 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: Humana Medical Coverage Policy — Spine Surgery (Spinal Fusion Surgery — instrumentation)
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