64569 prior authorization | Anthem Blue Cross and Blue Shield Nevada
64569, Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.
- Code
- 64569
- Description
- Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator
- Source
- Nevada Prior Authorization List, Pg 71 Original policy
Anthem Blue Cross and Blue Shield Nevada prior authorization