63663 prior authorization | Anthem Blue Cross and Blue Shield Virginia

63663, Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including flu, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO 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 flu
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 25 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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