Prior Auth Required

64553 - Percutaneous implantation of Prior Authorization Required Medical Necessity Submit history and physical

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePercutaneous implantation of Prior Authorization Required Medical Necessity Submit history and physical
Procedure / Service Description

Services (IHS) facilities. - DOES NOT apply to Indian Health Services (IHS) facilities. 64553 Percutaneous implantation of Prior Authorization Required Medical Necessity Submit history and physical, neurostimulator electrodes; cranial nerve documentation of medical necessity and procedure report.

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.