22630 prior authorization | Anthem Blue Cross Blue Shield of Georgia
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 Georgia 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
- Standard Local Prior Authorization Code List, Pg 4 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization