63012 prior authorization | Premera Blue Cross of Washington

63012, Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure), is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 63012
Description: Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure)
Source: Clinical Review by Code List PBCWA, Pg 367 Original policy

Premera Blue Cross of Washington prior authorization

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