Anthem Blue Cross and Blue Shield Virginia prior authorization 63688

Anthem Blue Cross and Blue Shield Virginia prior authorization for 63688: Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array

Code: 63688
Description: Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array
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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