Premera Blue Cross of Washington prior authorization 63001
Premera Blue Cross of Washington prior authorization for 63001: Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical These criteria do not imply or guarantee approval.
- Code
- 63001
- Description
- Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 366 Original policy