0220T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
0220T, Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; thoracic, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 0220T
- Description
- Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; thoracic
- Source
- New Hampshire Precertification List, Pg 31 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization