Back to dashboard
MedicaidCoverageHigh impact

Spinal Fusion and Stabilization Surgery - MEDICAID - VIRGINIA (Revised)

Humana·VA · Orthopedics, Neurosurgery, Pain Management·Medicaid
Effective date
Apr 1, 2025
We identified it
Jun 24, 2026
Days to comply

Summary

Humana has revised their Virginia Medicaid policy for spinal fusion and stabilization surgeries, including detailed coverage criteria for procedures like corpectomy, kyphectomy, artificial disc replacement, and sacroiliac joint fusion. The policy outlines specific clinical criteria that must be met for coverage approval and lists numerous CPT codes for these procedures.

Action Required

Action needed
By April 1, 2025: Billing team must update prior authorization protocols for Virginia Medicaid spinal procedures to ensure all clinical criteria are met before surgery. Update documentation templates to capture required elements like diagnostic imaging confirmation, specific anatomical conditions, and conservative treatment failures. Providers must document evidence of spinal cord/nerve compression and specific qualifying conditions for corpectomy, kyphectomy, and disc replacement procedures. Claims without proper clinical documentation will be denied.

Affected Billing Codes

63081
63082
63085
63086
63087
63088
63090
63091
63101
63102
63103
63300
63301
63302
63303
63304
63305
63306
63307
63308
22818
22819
22860