CPT 22869 · Interspinous Device · Wellpoint of New Jersey — NJ Medicaid
Vertiflex — Interspinous (1st level, no decompression) at Wellpoint of New Jersey — NJ Medicaid.
How Wellpoint of New Jersey — NJ 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 with prior authorization required.
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SURG.00092Criteria summary
High-level themes from the Wellpoint of New Jersey — NJ Medicaid policy of record for CPT 22869. Verbatim policy text and per-criterion analysis are available after sign-in.
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Source: Anthem Medical Policy SURG.00092 — Implanted Devices for Spinal Stenosis
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