22633 prior authorization | Anthem Blue Cross Blue Shield of Georgia
22633, Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace and segment; lumbar, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 22633
- Description
- Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace and segment; lumbar
- Source
- Standard Local Prior Authorization Code List, Pg 4 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization