Premera Blue Cross of Washington prior authorization 22856

Premera Blue Cross of Washington prior authorization for 22856: Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection), single interspace, cervical

Code: 22856
Description: Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection), single interspace, cervical
Source: Clinical Review by Code List PBCWA, Pg 260 Original policy

Premera Blue Cross of Washington prior authorization

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