Prior Auth Required
0787T - Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceRevision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator
Procedure / Service Description
Insertion or replacement of percutaneous electrode array, sacral, with integrated - Insertion or replacement of percutaneous electrode array, sacral, with integrated 0786T neurostimulator, including imaging guidance, when performed 0787T Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or 0790T lumbar vertebral body tethering, including thoracoscopy, when performed
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.