Prior Auth Required

64580 - submit authorizations for both procedures.

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicesubmit authorizations for both procedures.
Procedure / Service Description

Two separate authorizations are required; one for the trial and one - 61888, 63650, 63655, 63661, 63662, 63663, 63664, 63685, 63688, 64550, 64561, 64565, 64566, 64568, for the permanent insertion of neurostimulators. Please ensure to 64569, 64555, 64570, 64575, 64580, 64581, 64590, 64595 submit authorizations for both procedures.

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.