64569 prior authorization | Anthem Blue Cross Blue Shield of Georgia

64569, Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 64569
Description: Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator
Source: Standard Local Prior Authorization Code List, Pg 133 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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