22510 prior authorization | Anthem Blue Cross and Blue Shield Virginia
22510, Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 22510
- Description
- Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 13 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization