Policy library / 22830 Commercial payer policies listing 22830 6 policies from 5 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Carelon Medical Benefits Management policies listing 22830, with the code’s status in each Policy Effective Status of 22830 Spine Surgery Clinical Guideline · CARELON-SPINE-SURGERY Sep 19, 2026 Covered Spine Surgery Clinical Guideline · CARELON-SPINE-SURGERY-SUPERSEDED Nov 15, 2025 Covered
Cigna policies listing 22830, with the code’s status in each Policy Effective Status of 22830 Intraoperative Monitoring PayerPolicy · CIGNA-0509 Sep 15, 2025 Covered with conditions
EOCCO / Moda Health policies listing 22830, with the code’s status in each Policy Effective Status of 22830 EOCCO Spine Surgery Code List PayerPolicy · EVICORE-HPLAN-EOCCO-97613B76E347 May 1, 2026 Prior auth required
Health Partners Plans / Jefferson Health Plans policies listing 22830, with the code’s status in each Policy Effective Status of 22830 Health Partners Plans Spine Surgery Code List PayerPolicy · EVICORE-HPLAN-HEALTH_PARTNERS_PLANS-8C1D8DD0096D Jan 1, 2025 Prior auth required
UnitedHealthcare Medicare Advantage policies listing 22830, with the code’s status in each Policy Effective Status of 22830 Spine Procedures PayerPolicy · UHCMA-POL-UHC_MA-spine-procedures Not recorded Covered