Rubrica

CPT 22867 · Interspinous · Oscar Health

Vertiflex — Interspinous Process Decompression (1st level) at Oscar Health.

How Oscar Health approaches CPT 22867 (Vertiflex — Interspinous Process Decompression (1st level)) for prior-authorization review: at last review on 2026-01-01, the policy does not cover this code with prior authorization required.

Free with practitioner sign-in — magic-link email auth, no credit card.

Coverage Not covered
Prior auth Prior auth required
InvestigationalInvestigational / experimental
Last reviewed 2026-01-01
Policy numberOscar PAL 2026

Criteria summary

High-level themes from the Oscar Health 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: Oscar - delegated to eviCore

See the full Oscar Health criteria.

Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.

Sign in — free for practitioners →