63102 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

63102, 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); lumbar, single segment, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 63102
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); lumbar, single segment
Source: New Hampshire Precertification List, Pg 133 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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