22526 prior authorization | Anthem Blue Cross Blue Shield of Georgia
22526, Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; single level, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 22526
- Description
- Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; single level
- Source
- Standard Local Prior Authorization Code List, Pg 129 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization