Premera Blue Cross of Washington prior authorization 22534
Premera Blue Cross of Washington prior authorization for 22534: Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral segment (List separately in addition to code for primary procedure)
- Code
- 22534
- Description
- Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral segment (List separately in addition to code for primary procedure)
- Source
- Clinical Review by Code List PBCWA, Pg 256 Original policy