22804 prior authorization | Anthem Blue Cross and Blue Shield Virginia
22804, Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 22804
- Description
- Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 14 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization