Anthem Blue Cross Blue Shield of Georgia prior authorization 63042

Anthem Blue Cross Blue Shield of Georgia prior authorization for 63042: Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumbar

Code: 63042
Description: Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumbar
Source: Standard Local Prior Authorization Code List, Pg 25 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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