Blue Cross and Blue Shield of Montana prior authorization 63012

Blue Cross and Blue Shield of Montana prior authorization for 63012: Laminectomy With Removal Of Abnormal Facets And/Or Pars Inter-Articularis With Decompression Of Cauda Equina And Nerve Roots For Spondylolisthesis Lumbar (Gill Type Procedure)

Code: 63012
Description: Laminectomy With Removal Of Abnormal Facets And/Or Pars Inter-Articularis With Decompression Of Cauda Equina And Nerve Roots For Spondylolisthesis Lumbar (Gill Type Procedure)
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 52 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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