22612 prior authorization | Anthem Blue Cross Blue Shield of California

22612, Arthrodesis, posterior or posterolateral technique, single level; lumbar (with lateral transverse technique, when performed), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 22612
Description: Arthrodesis, posterior or posterolateral technique, single level; lumbar (with lateral transverse technique, when performed)
Source: California PPO Prior Authorization List, Pg 83 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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