Blue Cross and Blue Shield of Montana prior authorization 22842

Blue Cross and Blue Shield of Montana prior authorization for 22842: Posterior Segmental Instrumentation (Eg Pedicle Fixation Dual Rods With Multiple Hooks And Sublaminar Wires); 3 To 6 Vertebral Segments (List Separately In Addition To Code For Primary Procedure)

Code: 22842
Description: Posterior Segmental Instrumentation (Eg Pedicle Fixation Dual Rods With Multiple Hooks And Sublaminar Wires); 3 To 6 Vertebral Segments (List Separately In Addition To Code For Primary Procedure)
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 24 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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