E0764 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

E0764, Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completion of training program, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: E0764
Description: Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completion of training program
Source: New Hampshire Precertification List, Pg 226 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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