CPT 22868 · Interspinous Device · BCBS Oklahoma

Vertiflex — Interspinous (add'l level) at BCBS Oklahoma.

How BCBS Oklahoma approaches CPT 22868 (Vertiflex — Interspinous (add'l level)) for prior-authorization review: at last review on 2024-10-28, 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 2024-10-28

Policy numberMSK01-0725.1v2

Verification pending. This record is awaiting confirmation against the latest policy document — criteria summary may not reflect the current revision.

Criteria summary

High-level themes from the BCBS Oklahoma policy of record for CPT 22868. Verbatim policy text and per-criterion analysis are available after sign-in.

Coverage criteria details available after sign-in.

Source: Carelon Clinical Appropriateness Guidelines — Interventional Pain Management (HCSC delegates pain UM to Carelon)

See the full BCBS Oklahoma criteria.

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Vertiflex — Interspinous (add'l level) at BCBS Oklahoma.

Criteria summary

See the full BCBS Oklahoma criteria.

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