22526 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
22526, Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; single level, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 22526
- Description
- Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; single level
- Source
- New Hampshire Precertification List, Pg 91 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization