Prior Auth Required

64585 - Procedure - Misc. Revision or removal of peripheral neurostimulator electrode array

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceProcedure - Misc. Revision or removal of peripheral neurostimulator electrode array
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 54 - Surgical - ENT 64584 REMOVAL HYPOGLOSSAL NERVE NSTIM RA PG AND RESPIR SNR Procedure - Misc. 64585 Revision or removal of peripheral neurostimulator electrode array [when specified as a sacral nerve stimulator]

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.