Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0222T

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0222T: Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; each additional vertebral segment (List separately in addition to code for primary procedure)

Code: 0222T
Description: Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; each additional vertebral segment (List separately in addition to code for primary procedure)
Source: New Hampshire Precertification List, Pg 31 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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