22860 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
22860, Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (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
- 22860
- Description
- Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separately in addition to code for primary procedure)
- Source
- New Hampshire Precertification List, Pg 96 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization