Anthem Blue Cross and Blue Shield New Hampshire prior authorization 63090

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 63090: Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumbar, or sacral; single segment

Code: 63090
Description: Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumbar, or sacral; single segment
Source: New Hampshire Precertification List, Pg 132 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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