Prior Auth Required

64595 - Revision or removal of peripheral, sacral, 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 / ServiceRevision or removal of peripheral, sacral, Pre-Service Review Required Medical Necessity Submit history and physical
Procedure / Service Description

sacral, or gastric neurostimulator pulse documentation of medical necessity and - array and pulse generator or receiver 64595 Revision or removal of peripheral, sacral, Pre-Service Review Required Medical Necessity Submit history and physical, or gastric neurostimulator pulse generator documentation of medical necessity and or receiver, with detachable connection to 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.