Rubrica

CPT 22870 · Interspinous Device · Horizon NJ Health — NJ Medicaid

MinuteMan/Inspan — Interspinous Fixation (add'l) at Horizon NJ Health — NJ Medicaid.

How Horizon NJ Health — 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

Criteria summary

High-level themes from the Horizon NJ Health — 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: NJ Medicaid FFS posture (no Horizon BCBS NJ medical policy and no Novitas JL LCD on point); Horizon NJ Health follows FFS under N.J.A.C. 10:54-1.4 / 10:74-8.4 / 10:74-8.5

See the full Horizon NJ Health — NJ Medicaid criteria.

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