Anthem Blue Cross Blue Shield of California prior authorization 22857
Anthem Blue Cross Blue Shield of California prior authorization for 22857: Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), single interspace, lumbar
- Code
- 22857
- Description
- Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), single interspace, lumbar
- Source
- California PPO Prior Authorization List, Pg 85 Original policy
Anthem Blue Cross Blue Shield of California prior authorization