63685* prior authorization | Cigna

63685*, Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver, is on the Cigna prior authorization list. Not a coverage or referral decision.

Code: 63685*
Description: Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver
Source: Master Precertification List For Health Care Providers, Pg 52 Original policy

Cigna prior authorization

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