Prior Auth Required

63650 - Percutaneous Implantation, Neurostimulator Electrode Array, Epidural

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePercutaneous Implantation, Neurostimulator Electrode Array, Epidural
Procedure / Service Description

Vertebral Corpectomy, Lateral Extracavitary Approach w Decompression Spinal Cord/Nerve - 63308 Vertebral Corpectomy, Add'l Segment 63620 Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion 63650 Percutaneous Implantation, Neurostimulator Electrode Array, Epidural 63655 Laminectomy, Implantation, Neurostimulator Electrodes, Plate/Paddle, Epidural Revision including replacement, when performed, of spinal neurostimulator electrode

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.