63664 prior authorization | Blue Cross and Blue Shield of Montana

63664, Revision Including Replacement When Performed Of Spinal Neurostimulator Electrode Plate/Paddle(S) Placed Via Laminotomy Or Laminectomy Including Fluoroscopy When Performed, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 63664
Description: Revision Including Replacement When Performed Of Spinal Neurostimulator Electrode Plate/Paddle(S) Placed Via Laminotomy Or Laminectomy Including Fluoroscopy When Performed
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 65 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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