CPT 22842 · Other Procedure · Medicare (WPS MAC)
Posterior Segmental Instrumentation — 3-6 Segments at Medicare (WPS MAC).
How Medicare (WPS MAC) approaches CPT 22842 (Posterior Segmental Instrumentation — 3-6 Segments) for prior-authorization review: at last review on 2026-04-15, the policy covers this code without prior authorization.
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Coverage
Covered
Prior auth
No prior auth
Last reviewed
2026-04-15
Policy number
No active LCD (WPS)Criteria summary
High-level themes from the Medicare (WPS MAC) policy of record for CPT 22842. Verbatim policy text and per-criterion analysis are available after sign-in.
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