CPT 22867 · Interspinous Spacer · BCBS Alabama
Vertiflex — Interspinous Process Decompression (1st level) at BCBS Alabama.
How BCBS Alabama approaches CPT 22867 (Vertiflex — Interspinous Process Decompression (1st level)) for prior-authorization review: at last review on 2025-01-01, the policy covers this code with prior authorization required.
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BCBS-AL-Interspinous-deferCriteria summary
High-level themes from the BCBS Alabama policy of record for CPT 22867. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 26 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: BCBS Alabama Medical Policy (interspinous spacer — specific MP not located)
See the full BCBS Alabama criteria.
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