22856 prior authorization | Blue Cross and Blue Shield of Montana

22856, Total Disc Arthroplasty (Artificial Disc) Anterior Approach Including Discectomy With End Plate Preparation (Includes Osteophytectomy For Nerve Root Or Spinal Cord Decompression And Microdissection); Single Interspace Cervical, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 22856
Description: Total Disc Arthroplasty (Artificial Disc) Anterior Approach Including Discectomy With End Plate Preparation (Includes Osteophytectomy For Nerve Root Or Spinal Cord Decompression And Microdissection); Single Interspace Cervical
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 28 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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