63688 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

63688, Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 63688
Description: Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array
Source: New Hampshire Precertification List, Pg 135 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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