64585 prior authorization | Anthem Blue Cross Blue Shield of California

64585, Revision or removal of peripheral neurostimulator electrode array [when specified as a sacral nerve stimulator], is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 64585
Description: Revision or removal of peripheral neurostimulator electrode array [when specified as a sacral nerve stimulator]
Source: California PPO Prior Authorization List, Pg 43 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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