63663 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
63663, Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 63663
- Description
- Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed
- Source
- New Hampshire Precertification List, Pg 135 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization