Anthem Blue Cross Blue Shield of Georgia prior authorization 64590

Anthem Blue Cross Blue Shield of Georgia 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 pulse generator or receiver

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 pulse generator or receiver
Source: Standard Local Prior Authorization Code List, Pg 133 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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