64590 prior authorization | Anthem Blue Cross Blue Shield of Georgia

64590, Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver, is on the Anthem Blue Cross Blue Shield of Georgia 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 pulse generator or receiver
Source: Standard Local Prior Authorization Code List, Pg 133 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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