22527 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

22527, Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; 1 or more additional levels (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: 22527
Description: Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; 1 or more additional levels (List separately in addition to code for primary procedure)
Source: New Hampshire Precertification List, Pg 91 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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