Anthem Blue Cross and Blue Shield New Hampshire prior authorization 20936

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 20936: Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)

Code: 20936
Description: Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)
Source: New Hampshire Precertification List, Pg 84 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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