63017 prior authorization | Anthem Blue Cross Blue Shield of Georgia

63017, Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 63017
Description: Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar
Source: Standard Local Prior Authorization Code List, Pg 25 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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