Blue Cross and Blue Shield of Montana prior authorization 22630

Blue Cross and Blue Shield of Montana prior authorization for 22630: Arthrodesis Posterior Interbody Technique Including Laminectomy And/Or Discectomy To Prepare Interspace (Other Than For Decompression) Single Interspace Lumbar

Code: 22630
Description: Arthrodesis Posterior Interbody Technique Including Laminectomy And/Or Discectomy To Prepare Interspace (Other Than For Decompression) Single Interspace Lumbar
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 19 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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