22630 prior authorization | Anthem Blue Cross Blue Shield of Colorado
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 Colorado 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
- Colorado Prior Authorization List, Pg 19 Original policy
Anthem Blue Cross Blue Shield of Colorado prior authorization