63020 prior authorization | Premera Blue Cross of Washington

63020, Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 63020
Description: Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical
Source: Clinical Review by Code List PBCWA, Pg 368 Original policy

Premera Blue Cross of Washington prior authorization

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