64569 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
64569, Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 64569
- Description
- Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator
- Source
- New Hampshire Precertification List, Pg 137 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization