Blue Cross and Blue Shield of Montana prior authorization 0164T

Blue Cross and Blue Shield of Montana prior authorization for 0164T: Removal Of Total Disc Arthroplasty (Artificial Disc) Anterior Approach Each Additional Interspace Lumbar (List Separately In Addition To Code For Primary Procedure)

Code: 0164T
Description: Removal Of Total Disc Arthroplasty (Artificial Disc) Anterior Approach Each Additional Interspace Lumbar (List Separately In Addition To Code For Primary Procedure)
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 182 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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