22857 prior authorization | Anthem Blue Cross Blue Shield of California
22857, Total disc arthroplasty (artificial disc), anterior approach, including 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
- 22857
- Description
- Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), single interspace, lumbar
- Source
- California PPO Prior Authorization List, Pg 85 Original policy
Anthem Blue Cross Blue Shield of California prior authorization