Blue Cross and Blue Shield of Montana prior authorization 63090

Blue Cross and Blue Shield of Montana prior authorization for 63090: Vertebral Corpectomy (Vertebral Body Resection) Partial Or Complete Transperitoneal Or Retroperitoneal Approach With Decompression Of Spinal Cord Cauda Equina Or Nerve Root(S) Lower Thoracic Lumbar Or Sacral; Single Segment

Code: 63090
Description: Vertebral Corpectomy (Vertebral Body Resection) Partial Or Complete Transperitoneal Or Retroperitoneal Approach With Decompression Of Spinal Cord Cauda Equina Or Nerve Root(S) Lower Thoracic Lumbar Or Sacral; Single Segment
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 59 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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