CPT 22842 · Other Procedure · Regence BlueShield
Posterior Segmental Instrumentation — 3-6 Segments at Regence BlueShield.
How Regence BlueShield approaches CPT 22842 (Posterior Segmental Instrumentation — 3-6 Segments) for prior-authorization review: at last review on 2026-03-15, the policy covers this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
Criteria summary
High-level themes from the Regence BlueShield policy of record for CPT 22842. 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: Regence Medical Policy SUR-100 — Lumbar Spinal Fusion
See the full Regence BlueShield criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →