Blue Cross Blue Shield Oklahoma prior authorization 22857
Blue Cross Blue Shield Oklahoma prior authorization for 22857: Total Disc Arthroplasty (Artificial Disc) Anterior Approach Including Discectomy To Prepare Interspace (Other Than For Decompression); Single Interspace Lumbar
- Code
- 22857
- Description
- Total Disc Arthroplasty (Artificial Disc) Anterior Approach Including Discectomy To Prepare Interspace (Other Than For Decompression); Single Interspace Lumbar
- Source
- 2026 Commercial Outpatient Medical Surgical Fully Insured Prior Authorization Codes, Pg 169 Original policy