Anthem Blue Cross and Blue Shield New Hampshire prior authorization 22868

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 22868: Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; second level (List separately in addition to code for primary procedure)

Code: 22868
Description: Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; second level (List separately in addition to code for primary procedure)
Source: New Hampshire Precertification List, Pg 96 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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