Premera Blue Cross of Washington prior authorization 63040

Premera Blue Cross of Washington prior authorization for 63040: Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervical

Code: 63040
Description: Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervical
Source: Clinical Review by Code List PBCWA, Pg 369 Original policy

Premera Blue Cross of Washington prior authorization

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