All PlansCoverageHigh impact
11.14.22d, Spinal Decompression with Interspinous and Interlaminar Devices
Independence Blue Cross·Orthopedics, Neurosurgery, Pain Management·Medical Policy
Effective date
Oct 29, 2025
We identified it
Jun 19, 2026
Summary
This is a reissue of policy 11.14.22d regarding coverage and billing for spinal decompression procedures using interspinous and interlaminar devices. The policy became effective on 10/29/2025. Without access to the full policy text content, the specific coverage criteria, billing code requirements, and prior authorization mandates cannot be determined from the provided information.
Action Required
By 10/29/2025: Billing team must obtain and review the complete policy 11.14.22d text from the source URL. Identify all specific CPT and HCPCS codes for interspinous and interlaminar decompression devices. Update billing system with any new prior authorization requirements, coverage limitations, or documentation mandates. Notify spine surgery and orthopedic providers of any changes to billing procedures or medical necessity documentation requirements. Verify that all claims submitted after 10/29/2025 comply with the reissued policy terms to prevent denials.