22585 prior authorization | Premera Blue Cross of Washington

22585, Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in addition to code for primary procedure), is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 22585
Description: Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in addition to code for primary procedure)
Source: Clinical Review by Code List PBCWA, Pg 257 Original policy

Premera Blue Cross of Washington prior authorization

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