Premera Blue Cross of Washington prior authorization 22860
Premera Blue Cross of Washington prior authorization for 22860: Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separately in addition to code for primary procedure)
- Code
- 22860
- Description
- Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separately in addition to code for primary procedure)
- Source
- Clinical Review by Code List PBCWA, Pg 261 Original policy