Prior Auth Required

64590 - Insertion or replacement of peripheral, Pre-Service Review 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 / ServiceInsertion or replacement of peripheral, Pre-Service Review Required Medical Necessity Submit history and physical
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - medical service or supply. Code Description Plan Review Requirement Reviewed For Records Request 64590 Insertion or replacement of peripheral, Pre-Service Review Required Medical Necessity Submit history and physical, sacral, or gastric neurostimulator pulse documentation of medical necessity and generator or receiver, requiring pocket 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.