CPT 22867 · Interspinous Spacer · BCBS Tennessee
Vertiflex — Interspinous Process Decompression (1st level) at BCBS Tennessee.
How BCBS Tennessee approaches CPT 22867 (Vertiflex — Interspinous Process Decompression (1st level)) for prior-authorization review: at last review on 2026-01-30, the policy does not cover this code without prior authorization.
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Coverage
Not covered
Prior auth
No prior auth
InvestigationalInvestigational / experimental
Last reviewed
2026-01-30
Policy number
BCBS-TN MPM (Interspinous Spacers)Criteria summary
High-level themes from the BCBS Tennessee policy of record for CPT 22867. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
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