CPT 22869 · Interspinous Device · MedStar Family Choice — Maryland Medicaid
Vertiflex — Interspinous (1st level, no decompression) at MedStar Family Choice — Maryland Medicaid.
How MedStar Family Choice — Maryland Medicaid 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.
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Criteria summary
High-level themes from the MedStar Family Choice — Maryland Medicaid 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 MedStar Family Choice — Maryland Medicaid criteria.
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