CPT 22870 · Interspinous Device · Cigna
MinuteMan/Inspan — Interspinous Fixation (add'l) at Cigna.
How Cigna approaches CPT 22870 (MinuteMan/Inspan — Interspinous Fixation (add'l)) for prior-authorization review: at last review on 2026-04-26, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-04-26
Policy number
Clearway-MPG-MinuteMan_InspanCriteria summary
High-level themes from the Cigna policy of record for CPT 22870. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 26 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: Clearway Master Payer Guidelines v2025 — MinuteMan_Inspan
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