Anthem Blue Cross and Blue Shield New Hampshire prior authorization 22614

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 22614: Arthrodesis, posterior or posterolateral technique, single interspace; each additional interspace (List separately in addition to code for primary procedure)

Code: 22614
Description: Arthrodesis, posterior or posterolateral technique, single interspace; each additional interspace (List separately in addition to code for primary procedure)
Source: New Hampshire Precertification List, Pg 92 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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