63042 prior authorization | Anthem Blue Cross and Blue Shield Virginia
63042, Laminotomy W/Partl Facetectomy/Foraminotomy/Herniated Diskect, Re-Explor, Sngle Interspc; Lumbar, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 63042
- Description
- Laminotomy W/Partl Facetectomy/Foraminotomy/Herniated Diskect, Re-Explor, Sngle Interspc; Lumbar
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 24 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization