Prior Auth Required

63688 - )

This procedure appears on the selected insurer prior authorization source.

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Procedure / Service)
Procedure / Service Description

Additional management using medications, behavioral therapy, and physical therapy should be - Spinal Cord (Dorsal Column) Stimulator (63650, 63655, 63661, 63662, 63663, 63664, 63685, 63688) A device (L8680-L8683, L8685-L8689) that is used to electrically stimulate a member’s spinal

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.