0164T prior authorization | Anthem Blue Cross and Blue Shield Nevada

0164T, Removal of total disc arthroplasty, (artificial disc), anterior approach, each additional interspace, lumbar (List separ, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.

Code: 0164T
Description: Removal of total disc arthroplasty, (artificial disc), anterior approach, each additional interspace, lumbar (List separ
Source: Nevada Prior Authorization List, Pg 113 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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