22856 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
22856, Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection); single interspace, cervical, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 22856
- Description
- Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection); single interspace, cervical
- Source
- New Hampshire Precertification List, Pg 95 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization