CPT 22857 · Disc Arthroplasty · Aetna Medicare Advantage
Total Disc Arthroplasty — Lumbar (1 level) at Aetna Medicare Advantage.
How Aetna Medicare Advantage approaches CPT 22857 (Total Disc Arthroplasty — Lumbar (1 level)) for prior-authorization review: at last review on 2026-05-08, the policy covers this code with prior authorization required.
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Criteria summary
High-level themes from the Aetna Medicare Advantage policy of record for CPT 22857. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
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