63688 prior authorization | Anthem Blue Cross and Blue Shield Virginia

63688, Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 63688
Description: Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array
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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