20938 prior authorization | Anthem Blue Cross and Blue Shield Nevada

20938, Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separat, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.

Code: 20938
Description: Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separat
Source: Nevada Prior Authorization List, Pg 11 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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