22612 prior authorization | Anthem Blue Cross Blue Shield of Georgia

22612, Arthrodesis, posterior or posterolateral technique, single level; lumbar (with lateral transverse technique, when performed), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 22612
Description: Arthrodesis, posterior or posterolateral technique, single level; lumbar (with lateral transverse technique, when performed)
Source: Standard Local Prior Authorization Code List, Pg 4 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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