Prior Auth Required

64596 - Insertion or replacement of percutaneous Pre-Service Review Required Medical Necessity Submit history and physical

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceInsertion or replacement of percutaneous Pre-Service Review Required Medical Necessity Submit history and physical
Procedure / Service Description

or gastric neurostimulator pulse generator documentation of medical necessity and - or receiver, with detachable connection to procedure report. electrode array 64596 Insertion or replacement of percutaneous Pre-Service Review Required Medical Necessity Submit history and physical, electrode array, peripheral nerve, with documentation of medical necessity. integrated neurostimulator, including

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.