22862 prior authorization | Anthem Blue Cross and Blue Shield Virginia
22862, Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumba, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 22862
- Description
- Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumba
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 14 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization