Anthem Blue Cross Blue Shield of Georgia prior authorization 22856

Anthem Blue Cross Blue Shield of Georgia prior authorization for 22856: Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection); single interspace, cervical

Code
22856
Description
Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection); single interspace, cervical
Source
Standard Local Prior Authorization Code List, Pg 5 Original policy

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