Braven Health Artificial Intervertebral Disc Surgery (Cervical Spine) prior authorization requirements (2026)
What Braven Health generally requires to approve Artificial Intervertebral Disc Surgery (Cervical Spine) (CPT 22856, 22858, 22861), for medicare_advantage plans. Yes. Braven Health generally requires prior authorization for Artificial Intervertebral Disc Surgery (Cervical Spine) (CPT 22856, 22858, 22861).
Medical-necessity criteria Braven Health generally applies
Prior authorization via TurningPoint Spine Services (Cervical Disc Replacement — CPT 22856/22858/22861). Level and indication criteria in the TurningPoint policy library. [NEEDS CLINICAL SPOT-CHECK]
Diagnoses that commonly support medical necessity
ICD-10-CM diagnoses frequently associated with medical necessity for Artificial Intervertebral Disc Surgery (Cervical Spine). Confirm the covered diagnosis list against the current Braven Health policy.
How to submit
- Method: TurningPoint (Availity / portal / 1-833-436-4083)
- Portal: TurningPoint Healthcare Solutions
Sources & verification
- BindingSource — Surgical & Implantable Device Management Program — Spine Services (procedure-code list incl. laminectomy/discectomy, cervical & lumbar disc replacement, vertebral augmentation).View
Binding = the payer's own policy. Proxy = a public, evidence-based clinical guideline the payer mirrors. Portal-only = the binding criteria are confirmed in the administrator's portal. Always confirm against the payer for the member's specific plan. Last verified 2026-06-26.
Frequently asked questions
Does Braven Health require prior authorization for Artificial Intervertebral Disc Surgery (Cervical Spine)?
Yes. Braven Health generally requires prior authorization for Artificial Intervertebral Disc Surgery (Cervical Spine) (CPT 22856, 22858, 22861).
What does Braven Health require to approve Artificial Intervertebral Disc Surgery (Cervical Spine)?
Prior authorization via TurningPoint Spine Services (Cervical Disc Replacement — CPT 22856/22858/22861). Level and indication criteria in the TurningPoint policy library. [NEEDS CLINICAL SPOT-CHECK] Always confirm against the current Braven Health policy.
How long does a Braven Health prior authorization take?
Turnaround varies by plan and submission method. Check the Braven Health portal for current timeframes.
Submitting Artificial Intervertebral Disc Surgery (Cervical Spine) to Braven Health?
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.