L8686 prior authorization | Anthem Blue Cross and Blue Shield Nevada
L8686: Implantable neurostimulator pulse generator, single array, non-rechargeable, includes extension. Imported Anthem Blue Cross and Blue Shield Nevada source reference; confirm plan-specific review requirements in the original document. Not a coverage or referral decision.
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- Code
- L8686
- Description
- Implantable neurostimulator pulse generator, single array, non-rechargeable, includes extension
- Source
- Nevada Prior Authorization List, Pg 158 Original policy
Anthem Blue Cross and Blue Shield Nevada policies that name L8686
The payer's medical and payment policies that list L8686, those listing the fewest codes first. A policy can also list a code it excludes.
- SURG.00112 Implantation of Occipital, Supraorbital or Trigeminal Nerve Stimulation Devices (and Related Procedures) · SURG.00112View policy ↗
- Sacral Nerve Stimulation for Urinary Retention, Urinary Incontinence, and Fecal Incontinence · CG-SURG-95View policy ↗
- CG-SURG-120 Vagus Nerve Stimulation · CG-SURG-120View policy ↗
- Deep Brain Stimulation and Responsive Neurostimulation · SURG.00026View policy ↗
Anthem Blue Cross and Blue Shield Nevada prior authorization