Rubrica

CPT 22869 · Interspinous Device · Aetna Better Health of Maryland

Vertiflex — Interspinous (1st level, no decompression) at Aetna Better Health of Maryland.

How Aetna Better Health of Maryland approaches CPT 22869 (Vertiflex — Interspinous (1st level, no decompression)) for prior-authorization review: at last review on 2026-04-27, 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 2026-04-27
Policy numberCPB 0016

Criteria summary

High-level themes from the Aetna Better Health of Maryland policy of record for CPT 22869. Verbatim policy text and per-criterion analysis are available after sign-in.

Coverage criteria details available after sign-in.

Source: Aetna CPB 0016 — Back Pain: Invasive Procedures

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