22614 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
22614, Arthrodesis, posterior or posterolateral technique, single interspace; each additional interspace (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
- 22614
- Description
- Arthrodesis, posterior or posterolateral technique, single interspace; each additional interspace (List separately in addition to code for primary procedure)
- Source
- New Hampshire Precertification List, Pg 92 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization