64555 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

64555, Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 64555
Description: Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve)
Source: New Hampshire Precertification List, Pg 137 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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