22868 prior authorization | Anthem Blue Cross Blue Shield of Georgia

22868, Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; second level, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 22868
Description: Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; second level
Source: Standard Local Prior Authorization Code List, Pg 5 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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