0163T prior authorization | Anthem Blue Cross and Blue Shield Nevada
0163T, Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), each additional interspace, lumbar (Li, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.
- Code
- 0163T
- Description
- Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), each additional interspace, lumbar (Li
- Source
- Nevada Prior Authorization List, Pg 113 Original policy
Anthem Blue Cross and Blue Shield Nevada prior authorization