Prior Auth Required

64595 - Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with

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Prior authorizationPrior Auth Required
Procedure / ServiceRevision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 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 detachable connection to electrode array 64612 Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm,

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