Prior Auth Required

64596 - neurostimulator, including imaging guidance, when performed; initial electrode array

This procedure appears on the selected insurer prior authorization source.

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Procedure / Serviceneurostimulator, including imaging guidance, when performed; initial electrode array
Procedure / Service Description

Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated - 64590 generator or receiver Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated 64596 neurostimulator, including imaging guidance, when performed; initial electrode array Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array

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.