20938 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
20938, Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or fascial 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
- 20938
- Description
- Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or fascial incision) (List separately in addition to code for primary procedure)
- Source
- New Hampshire Precertification List, Pg 85 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization