63662 prior authorization | Premera Blue Cross of Washington

63662, Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed These criteria do not imply or guarantee approval., is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 63662
Description: Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 376 Original policy

Premera Blue Cross of Washington prior authorization

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