Premera Blue Cross of Washington prior authorization 63035
Premera Blue Cross of Washington prior authorization for 63035: Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or lumbar
- Code
- 63035
- Description
- Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or lumbar
- Source
- Clinical Review by Code List PBCWA, Pg 369 Original policy