63688 prior authorization | Blue Cross and Blue Shield of Montana

63688, Revision Or Removal Of Implanted Spinal Neurostimulator Pulse Generator Or Receiver With Detachable Connection To Electrode Array, is on the Blue Cross and Blue Shield of Montana commercial 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: 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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