22630 prior authorization | Anthem Blue Cross Blue Shield of California

22630, Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 22630
Description: Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar
Source: California PPO Prior Authorization List, Pg 83 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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