Humana Prior Authorization for CPT 22552
Spinal surgery procedures in MI
Last reviewed: March 2026
Prior Authorization Required
Documents Needed
- Clinical notes
Clinical Criteria
Spinal fusion, decompression, kyphoplasty and vertebroplasty
Source: Humana Commercial Preauthorization and Notification List (July 2024)
Submission Tips
Document medical necessity thoroughly before submitting. Include clinical notes, relevant test results, and a clear rationale for why CPT 22552 is appropriate for the patient's condition.
About CPT 22552
CPT 22552 — Spinal surgery procedures. Prior authorization requirements vary by payer, plan type, and state. Humana requires prior authorization for this procedure in MI.
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