CPT 22868 · Interspinous Device · Humana Medicare Advantage
Vertiflex — Interspinous (add'l level) at Humana Medicare Advantage.
How Humana Medicare Advantage 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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Clearway-MPG-VertiflexCriteria summary
High-level themes from the Humana Medicare Advantage 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: Clearway Master Payer Guidelines v2025 — Vertiflex
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