Prior Auth Required

64569 - Neurostimulator Revision or replacement of cranial nerve (eg, vagus nerve)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceNeurostimulator Revision or replacement of cranial nerve (eg, vagus nerve)
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 54 - generator Neurostimulator 64569 Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including

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.