22208 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

22208, Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); each additional vertebral segment (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: 22208
Description: Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); each additional vertebral segment (List separately in addition to code for primary procedure)
Source: New Hampshire Precertification List, Pg 89 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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