22558 prior authorization | Blue Cross and Blue Shield of Montana

22558, Arthrodesis Anterior Interbody Technique Including Minimal Discectomy To Prepare Interspace (Other Than For Decompression); Lumbar, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 22558
Description: Arthrodesis Anterior Interbody Technique Including Minimal Discectomy To Prepare Interspace (Other Than For Decompression); Lumbar
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 18 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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