22867 prior authorization | Anthem Blue Cross Blue Shield of Colorado
22867, Insertion of interlaminar/interspinous process stabilization/ distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; sin, is on the Anthem Blue Cross Blue Shield of Colorado 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; sin
- Source
- Colorado Prior Authorization List, Pg 21 Original policy
Anthem Blue Cross Blue Shield of Colorado prior authorization