Prior Auth Required

64583 - Revision or replacement of hypoglossal Prior Authorization Required Medical Necessity Submit history and physical

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceRevision or replacement of hypoglossal Prior Authorization Required Medical Necessity Submit history and physical
Procedure / Service Description

neurostimulator array, pulse generator, and documentation of medical necessity and - distal respiratory sensor electrode or procedure report. electrode array 64583 Revision or replacement of hypoglossal Prior Authorization Required Medical Necessity Submit history and physical, nerve neurostimulator array and distal documentation of medical necessity and respiratory sensor electrode or electrode 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.