Anthem Blue Cross Blue Shield of California prior authorization 63056
Anthem Blue Cross Blue Shield of California prior authorization for 63056: Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (e.g., herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal approach) (e.g., far lateral herniated intervertebral disc)
- Code
- 63056
- Description
- Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (e.g., herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal approach) (e.g., far lateral herniated intervertebral disc)
- Source
- California PPO Prior Authorization List, Pg 107 Original policy
Anthem Blue Cross Blue Shield of California prior authorization