All PlansCoverageMedium impact
Axial Lumbosacral Interbody Fusion
Blue Cross & Blue Shield of Mississippi·Orthopedics, Neurosurgery·Medical Policy
Effective date
May 8, 2025
We identified it
Jun 20, 2026
Summary
This policy clarifies that axial lumbosacral interbody fusion procedures remain classified as investigational and are not covered. The policy was reviewed on 05/08/2025 with no changes to the investigational status, meaning claims for these procedures will continue to be denied.
Action Required
Immediately: Billing team must ensure CPT code 22586 (axial lumbosacral interbody fusion) is flagged as non-covered/investigational in billing system. Verify denial messaging is accurate for claims submitted. Providers should be reminded that these procedures are not covered and patients must be informed of non-coverage before scheduling.