22513 prior authorization | Anthem Blue Cross and Blue Shield Virginia
22513, Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 verteb, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 22513
- Description
- Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 verteb
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 13 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization