Prior Auth Required

64582 - Surgical - ENT Open implantation of hypoglossal nerve neurostimulator array

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceSurgical - ENT Open implantation of hypoglossal nerve neurostimulator array
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 54 - (transforaminal placement) Surgical - ENT 64582 Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
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  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.