Prior Auth Required

64555 - Neurostimulator Percutaneous implantation of neurostimulator electrodes

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceNeurostimulator Percutaneous implantation of neurostimulator electrodes
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 54 - electrodes; cranial nerve Neurostimulator 64555 Percutaneous implantation of neurostimulator electrodes; peripheral nerve (excludes sacral nerve)

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.