20938 prior authorization | Anthem Blue Cross Blue Shield of California
20938, Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or fascial incision) (List separately in addition to code for primary procedure), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 20938
- Description
- Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or fascial incision) (List separately in addition to code for primary procedure)
- Source
- California PPO Prior Authorization List, Pg 81 Original policy
Anthem Blue Cross Blue Shield of California prior authorization