22216 prior authorization | Blue Cross and Blue Shield of Montana
22216, Osteotomy Of Spine Posterior Or Posterolateral Approach 1 Vertebral Segment; Each Additional Vertebral Segment (List Separately In Addition To Primary Procedure), is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.
- Code
- 22216
- Description
- Osteotomy Of Spine Posterior Or Posterolateral Approach 1 Vertebral Segment; Each Additional Vertebral Segment (List Separately In Addition To Primary Procedure)
- Source
- 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 13 Original policy