63664 prior authorization | Anthem Blue Cross and Blue Shield Virginia

63664, Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotom, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 63664
Description: Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotom
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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