64596 prior authorization | Anthem Blue Cross and Blue Shield Nevada
64596, Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode arra, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.
- Code
- 64596
- Description
- Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode arra
- Source
- Nevada Prior Authorization List, Pg 71 Original policy
Anthem Blue Cross and Blue Shield Nevada prior authorization