CPT 22869 · Interspinous Device · UnitedHealthcare Community Plan of Maryland

Vertiflex — Interspinous (1st level, no decompression) at UnitedHealthcare Community Plan of Maryland.

How UnitedHealthcare Community Plan 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.

Free with practitioner sign-in — magic-link email auth, no credit card.

Coverage Not covered

Prior auth Prior auth required

InvestigationalInvestigational / experimental

Last reviewed 2026-04-27

Policy number2026T0640H

Criteria summary

High-level themes from the UnitedHealthcare Community Plan 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: UHC Community Plan of Maryland — adopts UHC Commercial Minimally Invasive Spine Surgery Procedures Medical Policy

See the full UnitedHealthcare Community Plan of Maryland 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.

Vertiflex — Interspinous (1st level, no decompression) at UnitedHealthcare Community Plan of Maryland.

Criteria summary

See the full UnitedHealthcare Community Plan of Maryland criteria.

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