22862 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

22862, Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 22862
Description: Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar
Source: New Hampshire Precertification List, Pg 96 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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