Anthem Blue Cross Blue Shield of Colorado prior authorization 64590

Anthem Blue Cross Blue Shield of Colorado prior authorization for 64590: Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pu

Code: 64590
Description: Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pu
Source: Colorado Prior Authorization List, Pg 77 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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