63688 prior authorization | Anthem Blue Cross Blue Shield of Colorado

63688, Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.

Code: 63688
Description: Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array
Source: Colorado Prior Authorization List, Pg 76 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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