63663 prior authorization | Anthem Blue Cross Blue Shield of California
63663, Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed, is on the Anthem Blue Cross Blue Shield of California PPO 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 fluoroscopy, when performed
- Source
- California PPO Prior Authorization List, Pg 109 Original policy
Anthem Blue Cross Blue Shield of California prior authorization