63048 prior authorization | Anthem Blue Cross and Blue Shield Virginia
63048, Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 63048
- Description
- Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 24 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization