22842 prior authorization | Anthem Blue Cross and Blue Shield Virginia

22842, Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 v, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 22842
Description: Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 v
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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