64590 prior authorization | Anthem Blue Cross Blue Shield of Colorado

64590, Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pu, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.

Code: 64590
Description: Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pu
Source: Colorado Prior Authorization List, Pg 77 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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