22864 prior authorization | Anthem Blue Cross and Blue Shield Virginia

22864, Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 22864
Description: Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical
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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