Rubrica

CPT 22868 · Interspinous Device

Vertiflex — Interspinous (add'l level)

Insertion of interspinous process stabilization device, lumbar, each additional level (add-on).

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93
Payors tracked
68
Cover this CPT (73%)
59
Require prior auth (63%)
19
Flag investigational

Rubrica tracks payor coverage for CPT 22868 (Vertiflex — Interspinous (add'l level)) across 93 payors — every Medicare MAC, the major commercial plans, the BCBS family, all 50-state Medicaid programs, and selected workers' comp and auto/PIP carriers. Aggregate coverage patterns are shown below; full payor-specific criteria, source citations, and last-reviewed dates are available to signed-in practitioners.

Top payors covering CPT 22868

Sample of 12 payors with coverage for this code. Sign in for the complete payor list, verbatim criteria, denial-risk score, and source citations for each.

PayorCoveragePrior auth
AetnaCoveredNo PA
Aetna Better Health of FloridaCoveredPrior auth
Aetna Better Health of MarylandCoveredPrior auth
Aetna Better Health of New JerseyCoveredPrior auth
Aetna Medicare AdvantageCoveredPrior auth
Alabama Medicaid (FFS)CoveredPrior auth
Allstate Auto / PIPCoveredPrior auth
AmTrust Financial WCCoveredPrior auth
AmbetterCoveredNo PA
AmeriHealth Caritas Family (ACPA / AC Northeast / Keystone First) — PA HealthChoicesCoveredPrior auth
AmerigroupCoveredNo PA
Anthem BCBSCoveredNo PA

Coverage themes for CPT 22868

Common patterns across the 93 payors we track. Specific criteria per payor are available after sign-in.

Most payors require ≥26 weeks of conservative care before approving 22868.

53 of 93 payors require imaging concordance documentation.

Of the 93 payors with coverage records for CPT 22868, 59 require prior authorization, 9 cover without prior authorization, and 19 flag the procedure as investigational or experimental under current criteria.

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