Rubrica

CPT 22870 · Interspinous Device · Fidelis Care NJ (Centene) — NJ Medicaid

MinuteMan/Inspan — Interspinous Fixation (add'l) at Fidelis Care NJ (Centene) — NJ Medicaid.

How Fidelis Care NJ (Centene) — NJ Medicaid 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 without prior authorization.

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Coverage Not covered
Prior auth No prior auth
InvestigationalInvestigational / experimental
Last reviewed 2026-05-06
Policy numberCentene CP.MP / N.J.A.C. 10:74-8.5

Criteria summary

High-level themes from the Fidelis Care NJ (Centene) — NJ Medicaid 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: Centene corporate CP.MP-series clinical policies (investigational/experimental) — adopted by Fidelis Care NJ Medicaid; floor: N.J.A.C. 10:74-8.5 (excludes investigational services)

See the full Fidelis Care NJ (Centene) — NJ Medicaid criteria.

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