0165T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
0165T, Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, lumbar (List separately in addition to code for primary procedure), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 0165T
- Description
- Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, lumbar (List separately in addition to code for primary procedure)
- Source
- New Hampshire Precertification List, Pg 25 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization