Anthem Blue Cross Blue Shield of California prior authorization 22867
Anthem Blue Cross Blue Shield of California prior authorization for 22867: Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level
- Code
- 22867
- Description
- Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level
- Source
- California PPO Prior Authorization List, Pg 37 Original policy
Anthem Blue Cross Blue Shield of California prior authorization