63020 prior authorization | Anthem Blue Cross and Blue Shield Virginia

63020, Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 63020
Description: Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 24 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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