Payor
Medicaid (generic/state)
Rubrica tracks 2 sourced coverage rules across 2 CPT codes for Medicaid (generic/state) — covering interventional spine, pain management, ortho spine, and orthopedics. Plan type(s): Medicaid. National policy.
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Every Rubrica record cites a specific Medicaid (generic/state) policy document with last-reviewed date and (where available) verbatim source text. Aggregate coverage breakdown by procedure category is shown below; full payor-specific criteria require sign-in.
Coverage by category
Medicaid (generic/state)'s coverage stance across procedure categories tracked in the Rubrica catalog.
| Category | Rules | Covered | Prior auth | Investigational |
|---|---|---|---|---|
| Interspinous Device | 2 | 2 | 2 | 0 |
Top tracked procedures
First 15 CPT codes in the Medicaid (generic/state) catalog. Sign in for verbatim criteria, source links, and the rest of the catalog.
| CPT | Procedure | Coverage |
|---|---|---|
22867 | Vertiflex — Interspinous Process Decompression (1st level) | Covered |
22868 | Vertiflex — Interspinous (add'l level) | Covered |
See every policy for Medicaid (generic/state).
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