Blue Cross and Blue Shield of Montana prior authorization 63040

Blue Cross and Blue Shield of Montana prior authorization for 63040: Laminotomy (Hemilaminectomy) With Decompression Of Nerve Root(S) Including Partial Facetectomy Foraminotomy And/Or Excision Of Herniated Intervertebral Disc Reexploration Single Interspace; Cervical

Code: 63040
Description: Laminotomy (Hemilaminectomy) With Decompression Of Nerve Root(S) Including Partial Facetectomy Foraminotomy And/Or Excision Of Herniated Intervertebral Disc Reexploration Single Interspace; Cervical
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 53 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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