Prior Auth Required

64595 - Revision/removal peripheral or gastric neurostimulator pulse generator/receiver All

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceRevision/removal peripheral or gastric neurostimulator pulse generator/receiver All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Revision/replacement cranial nerve (e.g., vagus) neurostimulator electrode array 64569 All Revision/removal peripheral neurostimulator electrode array 64585 All Revision/removal peripheral or gastric neurostimulator pulse generator/receiver 64595 All Neurostimulator additions (electrodes, generators, etc.) L8679, L8680, L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689, L8695 All Posterior intrafacet implant(s) placement 0219T, 0221T, 0222T All

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.