22842 prior authorization | Anthem Blue Cross Blue Shield of Georgia

22842, Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 22842
Description: Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments
Source: Standard Local Prior Authorization Code List, Pg 5 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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