Anthem Blue Cross and Blue Shield New Hampshire prior authorization 63664

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 63664: Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed

Code: 63664
Description: Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed
Source: New Hampshire Precertification List, Pg 135 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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