20936 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

20936, Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (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: 20936
Description: Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)
Source: New Hampshire Precertification List, Pg 84 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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