Rubrica

CPT 22868 · Interspinous Device · Wellpoint of New Jersey — NJ Medicaid

Vertiflex — Interspinous (add'l level) at Wellpoint of New Jersey — NJ Medicaid.

How Wellpoint of New Jersey — NJ Medicaid approaches CPT 22868 (Vertiflex — Interspinous (add'l level)) for prior-authorization review: at last review on 2026-05-06, the policy does not cover this code with prior authorization required.

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Coverage Not covered
Prior auth Prior auth required
InvestigationalInvestigational / experimental
Last reviewed 2026-05-06
Policy numberSURG.00092

Criteria summary

High-level themes from the Wellpoint of New Jersey — NJ Medicaid 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: Anthem Medical Policy SURG.00092 — Implanted Devices for Spinal Stenosis

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