Rubrica

CPT 22867 · Interspinous Device · Ohio Medicaid

Vertiflex — Interspinous Process Decompression (1st level) at Ohio Medicaid.

How Ohio Medicaid approaches CPT 22867 (Vertiflex — Interspinous Process Decompression (1st level)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.

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Coverage Covered
Prior auth Prior auth required
Last reviewed 2026-05-06

Criteria summary

High-level themes from the Ohio Medicaid 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.

Source: Ohio Department of Medicaid (ODM)

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