Prior Auth Required

63664 - Revision including replacement, when Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceRevision including replacement, when Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan
Procedure / Service Description

Services (IHS) facilities. - DOES NOT apply to Indian Health Services (IHS) facilities. 63664 Revision including replacement, when Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan performed, of spinal neurostimulator of Service of care, and documentation of medical electrode plate/paddle(s) placed via necessity including for site of service. Site

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.