CPT 22868 · Interspinous Device · BCBS Michigan
Vertiflex — Interspinous (add'l level) at BCBS Michigan.
How BCBS Michigan approaches CPT 22868 (Vertiflex — Interspinous (add'l level)) for prior-authorization review: at last review on 2026-04-26, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-04-26
Policy number
BCBSM TurningPoint MSK 2025Criteria summary
High-level themes from the BCBS Michigan policy of record for CPT 22868. 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: BCBSM Commercial PA List — TurningPoint MSK Quality & Safety Mgmt Program
See the full BCBS Michigan criteria.
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