Prior Auth Required

64575 - nerve)

This procedure appears on the selected insurer prior authorization source.

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Procedure / Servicenerve)
Procedure / Service Description

Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes - 64569 including connection to existing pulse generator Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral 64575 nerve) Open implantation of neurostimulator electrode array; sacral nerve (transforaminal 64581 placement)

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.