63664 prior authorization | Anthem Blue Cross Blue Shield of California
63664, Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, 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
- 63664
- Description
- Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed
- Source
- California PPO Prior Authorization List, Pg 109 Original policy
Anthem Blue Cross Blue Shield of California prior authorization