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MRN MRN-011009

Thompson, James

56M · Cigna OAP · Member CIG-668214093

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Authorization timeline · 1 case
AUT-2026-00190
L4-L5 TLIF (transforaminal lumbar interbody fusion)
Cigna · Service May 15, 2026
P2P scheduled
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Care snapshot
Active diagnoses
M43.16Spondylolisthesis, lumbar region
M48.06Spinal stenosis, lumbar region
M51.36Other intervertebral disc degeneration, lumbar
Procedures requested
22633Arthrodesis, combined posterior or PSIF technique, single interspace
22840Posterior non-segmental instrumentation
20930Allograft, morselized, structural
Payers on file
Cigna
Primary · Cigna