Premera Blue Cross of Washington prior authorization 63015

Premera Blue Cross of Washington prior authorization for 63015: Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical These criteria do not imply or guarantee approval.

Code: 63015
Description: Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 367 Original policy

Premera Blue Cross of Washington prior authorization

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