22634 prior authorization | Anthem Blue Cross and Blue Shield Virginia
22634, Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 22634
- Description
- Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 14 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization