Premera Blue Cross of Washington prior authorization 63047
Premera Blue Cross of Washington prior authorization for 63047: Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar
- Code
- 63047
- Description
- Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar
- Source
- Clinical Review by Code List PBCWA, Pg 371 Original policy