22534 prior authorization | Anthem Blue Cross Blue Shield of California
22534, Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral segment (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
- 22534
- Description
- Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral segment (List separately in addition to code for primary procedure)
- Source
- California PPO Prior Authorization List, Pg 83 Original policy
Anthem Blue Cross Blue Shield of California prior authorization