Anthem Blue Cross Blue Shield of Georgia prior authorization 22634

Anthem Blue Cross Blue Shield of Georgia prior authorization for 22634: Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace, lumbar; each additional interspace

Code: 22634
Description: Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace, lumbar; each additional interspace
Source: Standard Local Prior Authorization Code List, Pg 4 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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