SURG.00075 Intervertebral Stabilization Devices

This policy addresses intervertebral stabilization devices used in spine surgery. Anthem considers these devices investigational/experimental and not medically necessary; they are not covered for any indication. There are no covered exceptions or clinical criteria, and related services may be billed under CPT 22899 (unlisted spine procedure).

"Use of intervertebral stabilization devices is consideredinvestigational and not medically necessaryfor all indications."

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