Anthem Blue Cross Blue Shield of Georgia prior authorization 22867

Anthem Blue Cross Blue Shield of Georgia 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: Standard Local Prior Authorization Code List, Pg 129 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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