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Artificial Intervertebral Disc: Lumbar Spine

Blue Cross & Blue Shield of Mississippi·MS · Orthopedics, Neurosurgery, Pain Management·Medical Policy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

This policy confirms that artificial intervertebral disc procedures for the lumbar spine remain classified as investigational and are not covered, except potentially under Federal Employee Program plans where FDA-approved devices may be assessed for medical necessity only.

Action Required

Action needed
Immediately: Billing team must verify that artificial intervertebral disc procedures (CPT codes 0090T, 0092T, 0093T, 0095T, 0096T, 0098T, and unlisted code 22899) are flagged as non-covered/investigational in billing system for all plans except Federal Employee Program. For FEP plans only, verify prior authorization process is in place to assess medical necessity for FDA-approved devices (activL and ProDisc-L). Claims will be denied as investigational without proper handling.

Affected Billing Codes

22899