63685 prior authorization | Anthem Blue Cross and Blue Shield Virginia
63685, Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receive, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 63685
- Description
- Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receive
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 25 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization