Prior Auth Required

64595 - Neurostimulator REVISE/REMOVE PERIPH/GASTRIC NEUROSTIM/RECEIVER

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceNeurostimulator REVISE/REMOVE PERIPH/GASTRIC NEUROSTIM/RECEIVER
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 54 - or inductive coupling Neurostimulator 64595 REVISE/REMOVE PERIPH/GASTRIC NEUROSTIM/RECEIVER Investigational 64624 Destruction by neurolytic agent, genicular nerve branches 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.