22858 prior authorization | Anthem Blue Cross Blue Shield of Georgia

22858, Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection); second level, cervical, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 22858
Description: Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection); second level, cervical
Source: Standard Local Prior Authorization Code List, Pg 5 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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