Anthem Blue Cross and Blue Shield New Hampshire prior authorization 22512
Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 22512: Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; each additional cervicothoracic or lumbosacral vertebral body (List separately in addition to code for primary procedure)
- Code
- 22512
- Description
- Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; each additional cervicothoracic or lumbosacral vertebral body (List separately in addition to code for primary procedure)
- Source
- New Hampshire Precertification List, Pg 90 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization