Prior Auth Required

64585 - Revision or removal of peripheral 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 peripheral Pre-Service Review 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 64585 Revision or removal of peripheral Pre-Service Review Required Medical Necessity Submit history and physical, neurostimulator electrode array 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.