Payer PolicyActive
SURG.00092 Implanted Devices for Spinal Stenosis
ANTHEM-SURG.00092
Anthem
Effective: October 1, 2025
Updated: December 30, 2025
Policy Summary
This policy addresses implanted devices for the treatment of spinal stenosis, including interspinous/interlaminar spacers such as the coflex, whether used alone or following decompression. Anthem considers these devices investigational and not medically necessary; they are not covered for any indication or setting, including services billed under CPT/HCPCS 22867, 22868, 22869, 22870, C1821, and E1080. No exceptions or coverage criteria are provided.
Coverage Criteria Preview
Key requirements from the full policy
"Implanted devices for treatment of spinal stenosis are consideredinvestigational and not medically necessary."
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