63030 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

63030, Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 63030
Description: Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar
Source: New Hampshire Precertification List, Pg 129 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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