Anthem Blue Cross and Blue Shield New Hampshire prior authorization 63017

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 63017: Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar

Code: 63017
Description: Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar
Source: New Hampshire Precertification List, Pg 129 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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