Prior Auth Required

64561 - Neurostimulator Percutaneous implantation of neurostimulator electrodes; sacral

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; sacral
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 54 - peripheral nerve (excludes sacral nerve) Neurostimulator 64561 Percutaneous implantation of neurostimulator electrodes; sacral nerve (transforaminal placement)

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.