Prior Auth Required

63664 - performed

This procedure appears on the selected insurer prior authorization source.

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Procedure / Serviceperformed
Procedure / Service Description

Revision including replacement, when performed, of spinal neurostimulator electrode - Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when 63664 performed Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring 63685 pocket creation and connection between electrode array and pulse generator or receiver

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.