Prior Auth Required

63688 - detachable connection to electrode array

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicedetachable connection to electrode array
Procedure / Service Description

Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with - 63685 pocket creation and connection between electrode array and pulse generator or receiver Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with 63688 detachable connection to electrode array 64405 Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance,

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.