CPT 22870 · Interspinous Device · AmeriHealth Caritas Family (ACPA / AC Northeast / Keystone First) — PA HealthChoices
MinuteMan/Inspan — Interspinous Fixation (add'l) at AmeriHealth Caritas Family (ACPA / AC Northeast / Keystone First) — PA HealthChoices.
How AmeriHealth Caritas Family (ACPA / AC Northeast / Keystone First) — PA HealthChoices approaches CPT 22870 (MinuteMan/Inspan — Interspinous Fixation (add'l)) 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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eviCore CMM-608Criteria summary
High-level themes from the AmeriHealth Caritas Family (ACPA / AC Northeast / Keystone First) — PA HealthChoices policy of record for CPT 22870. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
Source: eviCore CMM-608 — Interspinous Fusion (EIU; AC Family / Keystone First)
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