22870 prior authorization | Anthem Blue Cross Blue Shield of Georgia

22870, Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; second level, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 22870
Description: Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; second level
Source: Standard Local Prior Authorization Code List, Pg 6 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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