CPT 22856 · Other Procedure · Independence BCBS PA
Total Disc Arthroplasty — Cervical (1 level) at Independence BCBS PA.
How Independence BCBS PA approaches CPT 22856 (Total Disc Arthroplasty — Cervical (1 level)) 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 Independence BCBS PA policy of record for CPT 22856. 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: Independence Blue Cross Medical Policy 11.14.02 — Spinal Fusion
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