22860 prior authorization | Anthem Blue Cross and Blue Shield Virginia
22860, Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separa, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 22860
- Description
- Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separa
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 14 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization