Prior Auth Required

64590 - Neurostimulator Insertion or replacement of peripheral or gastric neurostimulator

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceNeurostimulator Insertion or replacement of peripheral or gastric neurostimulator
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 54 - [when specified as a sacral nerve stimulator] Neurostimulator 64590 Insertion or replacement of peripheral or gastric neurostimulator pulse generator or receiver, direct

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.