Prior Auth Required

64580 - L8689), when used in the treatment of spinal cord and head

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceL8689), when used in the treatment of spinal cord and head
Procedure / Service Description

The following treatments for chronic low back pain are not - Functional electrical stimulators (63650, 63655, 63685, 63688, 64555, 64575, 64580, 64585, 64590, 64595, L8680- L8689), when used in the treatment of spinal cord and head injury, cerebral palsy, and upper motor neuron disease.

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.