64590 prior authorization | Anthem Blue Cross and Blue Shield Nevada

64590, Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pu, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.

Code: 64590
Description: Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pu
Source: Nevada Prior Authorization List, Pg 71 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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