63101 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
63101, Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments); thoracic, single segment, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 63101
- Description
- Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments); thoracic, single segment
- Source
- New Hampshire Precertification List, Pg 132 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization