E0764 prior authorization | Anthem Blue Cross Blue Shield of California
E0764, Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completion of training program, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- E0764
- Description
- Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completion of training program
- Source
- California PPO Prior Authorization List, Pg 23 Original policy
Anthem Blue Cross Blue Shield of California prior authorization