0163T prior authorization | Anthem Blue Cross Blue Shield of Colorado

0163T, Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), each additional interspace, lumbar (Li, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.

Code: 0163T
Description: Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), each additional interspace, lumbar (Li
Source: Colorado Prior Authorization List, Pg 120 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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