22842 prior authorization | Anthem Blue Cross and Blue Shield Nevada
22842, Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 v, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.
- Code
- 22842
- Description
- Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 v
- Source
- Nevada Prior Authorization List, Pg 18 Original policy
Anthem Blue Cross and Blue Shield Nevada prior authorization