22612 prior authorization | Anthem Blue Cross and Blue Shield Virginia

22612, Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed), is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 22612
Description: Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 14 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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