22632 prior authorization | Anthem Blue Cross and Blue Shield Virginia
22632, Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional in, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 22632
- Description
- Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional in
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 14 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization