22844 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
22844, Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or more vertebral segments (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
- 22844
- Description
- Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or more vertebral segments (List separately in addition to code for primary procedure)
- Source
- New Hampshire Precertification List, Pg 94 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization