Anthem Blue Cross and Blue Shield Nevada policy
Percutaneous Spinal Surgery
Percutaneous Spinal Surgery is a public Anthem Blue Cross and Blue Shield Nevada policy (policy SURG.00071). It lists 8 CPT or HCPCS codes, 4 of them on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage decision; the payer's own document governs.
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- Policy number
- SURG.00071
- Line of business
- Commercial
- Source
- www.anthem.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Prior authorization status is from the Anthem Blue Cross and Blue Shield Nevada prior authorization list.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross and Blue Shield Nevada policies |
|---|---|---|---|
| 0274T | On the list | Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or forami | Policies naming 0274T |
| 22899 | Not listed | Policies naming 22899 | |
| 62287 | On the list | Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or othe | Policies naming 62287 |
| 62330 | Not listed | Policies naming 62330 | |
| 62331 | Not listed | Policies naming 62331 | |
| 64999 | Not listed | Policies naming 64999 | |
| C2614 | On the list | Probe, percutaneous lumbar discectomy | Policies naming C2614 |
| S2348 | On the list | Decompress disc RF lumbar | Policies naming S2348 |
All Anthem Blue Cross and Blue Shield Nevada policies · Anthem Blue Cross and Blue Shield Nevada prior authorization CPT list