63001 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
63001, Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 63001
- Description
- Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical
- Source
- New Hampshire Precertification List, Pg 128 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization