64575 prior authorization | Anthem Blue Cross Blue Shield of California

64575, Open implantation of neurostimulator electrodes; peripheral nerve (excludes sacral nerve) [when specified as phrenic nerve stimulator for CG-MED-79], is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 64575
Description: Open implantation of neurostimulator electrodes; peripheral nerve (excludes sacral nerve) [when specified as phrenic nerve stimulator for CG-MED-79]
Source: California PPO Prior Authorization List, Pg 43 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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