22867 prior authorization | Anthem Blue Cross Blue Shield of California

22867, Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 22867
Description: Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level
Source: California PPO Prior Authorization List, Pg 37 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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