Prior Auth Required

0787T - Revision or removal of neurostimulator Pre-Service Review Required Medical Necessity Submit history and physical

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceRevision or removal of neurostimulator Pre-Service Review Required Medical Necessity Submit history and physical
Procedure / Service Description

neurostimulator, including imaging - guidance, when performed 0787T Revision or removal of neurostimulator Pre-Service Review Required Medical Necessity Submit history and physical, electrode array, sacral, with integrated documentation of medical necessity. neurostimulator

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.