22534 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

22534, Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, 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: 22534
Description: Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral segment (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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