Anthem Blue Cross and Blue Shield New Hampshire prior authorization 63103

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 63103: Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments); thoracic or lumbar, each additional segment (List separately in addition to code for primary procedure)

Code: 63103
Description: Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments); thoracic or lumbar, each additional segment (List separately in addition to code for primary procedure)
Source: New Hampshire Precertification List, Pg 133 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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