Prior Auth Required

64590 - Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver

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Procedure / ServiceInsertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 64555 Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) 64568 Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator 64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver 64595 Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
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  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.