CPT 22869 · Interspinous Device · CareFirst BCBS Community Health Plan Maryland (CHPMD)
Vertiflex — Interspinous (1st level, no decompression) at CareFirst BCBS Community Health Plan Maryland (CHPMD).
How CareFirst BCBS Community Health Plan Maryland (CHPMD) approaches CPT 22869 (Vertiflex — Interspinous (1st level, no decompression)) for prior-authorization review: at last review on 2026-05-06, the policy does not cover this code without prior authorization.
Free with practitioner sign-in — magic-link email auth, no credit card.
Criteria summary
High-level themes from the CareFirst BCBS Community Health Plan Maryland (CHPMD) 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: Maryland Medicaid Professional Services Provider Manual & Fee Schedule (FFS)
See the full CareFirst BCBS Community Health Plan Maryland (CHPMD) criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →