Spine PA LogiQ

Guided spine coding that flows directly into prior auth readiness.

Spine PA LogiQ reads the surgical plan, generates deterministic CPT output, fills prior authorization packet fields from clinic defaults and documents, and flags documentation gaps against payer criteria.

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Demo case

A TLIF case moves from guided builder to PA packet prefill.

Synthetic case. The goal is the workflow handoff: generated CPTs should not sit in a separate tool. They should populate the authorization packet and show what is still missing.

L4-L5 TLIF with instrumentation

Lumbar spondylolisthesis with radiculopathy

Guided builder complete

Prefilled from guided builder

Procedure name and approach
Operative levels
Primary CPT and requested CPT list
CPT units for packet worksheet

Prefilled from docs/defaults

Patient, DOB, member ID, surgeon
Facility and procedure date
BMI, smoking status, PT duration
Practice header fields

22633

Arthrodesis, posterior interbody technique, first lumbar interspace

primary

22853

Biomechanical interbody device, intervertebral disc space

device

22840

Posterior non-segmental instrumentation

instrumentation

20930

Allograft, morselized, or osteopromotive material

graft

Packet seed ready

Generated CPTs and document fields flow into `case_info`; missing fields are explicit before packet assembly.

1open item

Workflow fit

The easiest win is reducing the handoff friction between coding and authorization.

The guided builder already knows what was selected. Spine PA LogiQ uses that output to seed the PA packet instead of making staff re-enter the same facts.

Guided build

Capture procedure family, approach, level count, instrumentation, graft, and special constructs.

CPT output

Generate primary and add-on codes deterministically with units and assumptions.

PA prefill

Merge clinic defaults and document-derived facts into one packet seed.

Readiness

Show the missing fields and documents before payer submission.

Make spine prior auth start with the right codes and the right evidence.

We are looking for spine practices and health systems to shape the guided-builder-to-auth workflow.

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