Anthem Blue Cross Blue Shield of California prior authorization 22868

Anthem Blue Cross Blue Shield of California prior authorization for 22868: Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; second level (List separately in addition to code for primary procedure)

Code: 22868
Description: Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; second level (List separately in addition to code for primary procedure)
Source: California PPO Prior Authorization List, Pg 37 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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