Aetna Artificial Intervertebral Disc Surgery (Lumbar Spine) prior authorization requirements (2026)
What Aetna generally requires to approve Artificial Intervertebral Disc Surgery (Lumbar Spine) (CPT 22857, 22860, 22862, 22865), for Commercial plans. Yes. Aetna generally requires prior authorization for Artificial Intervertebral Disc Surgery (Lumbar Spine) (CPT 22857, 22860, 22862, 22865).
Medical-necessity criteria Aetna generally applies
Medical necessity review required
Diagnoses that commonly support medical necessity
ICD-10-CM diagnoses frequently associated with medical necessity for Artificial Intervertebral Disc Surgery (Lumbar Spine). Confirm the covered diagnosis list against the current Aetna policy.
Commonly required documentation
- All medical records requested must be submitted
How to submit
- Method: portal
- Typical turnaround: about 3 days
Source
Precertification required for all applicable plans Last verified 2026-05-06.
Frequently asked questions
Does Aetna require prior authorization for Artificial Intervertebral Disc Surgery (Lumbar Spine)?
Yes. Aetna generally requires prior authorization for Artificial Intervertebral Disc Surgery (Lumbar Spine) (CPT 22857, 22860, 22862, 22865).
What does Aetna require to approve Artificial Intervertebral Disc Surgery (Lumbar Spine)?
Medical necessity review required Always confirm against the current Aetna policy.
How long does a Aetna prior authorization take?
Aetna typically decides Artificial Intervertebral Disc Surgery (Lumbar Spine) requests in about 3 days. Timeframes vary; check the payer portal.
Submitting Artificial Intervertebral Disc Surgery (Lumbar Spine) to Aetna?
Praxigen checks your clinical note against these criteria before you submit and drafts a policy-cited appeal if it is denied. You review and submit; nothing is sent automatically.