Anthem Blue Cross Blue Shield of California prior authorization 64595

Anthem Blue Cross Blue Shield of California prior authorization for 64595: Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array [when specified as sacral nerve stimulator]

Code: 64595
Description: Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array [when specified as sacral nerve stimulator]
Source: California PPO Prior Authorization List, Pg 11 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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