Anthem Blue Cross and Blue Shield New Hampshire prior authorization 22858
Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 22858: Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection); second level, cervical (List separately in addition to code for primary procedure)
- Code
- 22858
- Description
- Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection); second level, cervical (List separately in addition to code for primary procedure)
- Source
- New Hampshire Precertification List, Pg 95 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization