64569 prior authorization | Anthem Blue Cross Blue Shield of California
64569, Revision or replacement of cranial nerve (e.g., vagus nerve) neurostimulator electrode array, including connection to existing pulse generator, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 64569
- Description
- Revision or replacement of cranial nerve (e.g., vagus nerve) neurostimulator electrode array, including connection to existing pulse generator
- Source
- California PPO Prior Authorization List, Pg 43 Original policy
Anthem Blue Cross Blue Shield of California prior authorization