Blue Cross and Blue Shield of Montana prior authorization 63051

Blue Cross and Blue Shield of Montana prior authorization for 63051: Laminoplasty Cervical With Decompression Of The Spinal Cord 2 Or More Vertebral Segments; With Reconstruction Of The Posterior Bony Elements (Including The Application Of Bridging Bone Graft And Non-Segmental Fixation Devices [Eg Wire Suture Mini- Plates] When Performed)

Code: 63051
Description: Laminoplasty Cervical With Decompression Of The Spinal Cord 2 Or More Vertebral Segments; With Reconstruction Of The Posterior Bony Elements (Including The Application Of Bridging Bone Graft And Non-Segmental Fixation Devices [Eg Wire Suture Mini- Plates] When Performed)
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 56 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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