Anthem Blue Cross and Blue Shield New Hampshire prior authorization 63012

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 63012: Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure)

Code: 63012
Description: Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure)
Source: New Hampshire Precertification List, Pg 129 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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