Premera Blue Cross of Washington prior authorization 22552

Premera Blue Cross of Washington prior authorization for 22552: Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List separately in addition to code for separate procedure)

Code
22552
Description
Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List separately in addition to code for separate procedure)
Source
Clinical Review by Code List PBCWA, Pg 256 Original policy

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