Anthem Blue Cross and Blue Shield Virginia prior authorization 63664

Anthem Blue Cross and Blue Shield Virginia prior authorization for 63664: Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotom

Code: 63664
Description: Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotom
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 25 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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