CPT 22856 · Other Procedure · Medicare (Noridian JE MAC)
Total Disc Arthroplasty — Cervical (1 level) at Medicare (Noridian JE MAC).
How Medicare (Noridian JE MAC) approaches CPT 22856 (Total Disc Arthroplasty — Cervical (1 level)) 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
L39762Criteria summary
High-level themes from the Medicare (Noridian JE MAC) 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: LCD - Cervical Fusion (L39762)
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