Blue Cross and Blue Shield of Illinois policy
Spinal Cord Stimulation (SCS) and Dorsal Root Ganglion (DRG) Stimulation
Spinal Cord Stimulation (SCS) and Dorsal Root Ganglion (DRG) Stimulation is a public Blue Cross and Blue Shield of Illinois policy (policy SUR712.009, effective Aug 1, 2026). It lists 30 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Policy number
- SUR712.009
- Effective
- Aug 1, 2026
- Line of business
- Commercial, Medicaid
- Source
- medicalpolicy.hcsc.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Blue Cross and Blue Shield of Illinois policies |
|---|---|
| 0784T | Policies naming 0784T |
| 0785T | Policies naming 0785T |
| 0788T | Policies naming 0788T |
| 0789T | Policies naming 0789T |
| 63650 | Policies naming 63650 |
| 63655 | Policies naming 63655 |
| 63661 | Policies naming 63661 |
| 63662 | Policies naming 63662 |
| 63663 | Policies naming 63663 |
| 63664 | Policies naming 63664 |
| 63685 | Policies naming 63685 |
| 63688 | Policies naming 63688 |
| 95970 | Policies naming 95970 |
| 95971 | Policies naming 95971 |
| 95972 | Policies naming 95972 |
| C1767 | Policies naming C1767 |
| C1778 | Policies naming C1778 |
| C1787 | Policies naming C1787 |
| C1816 | Policies naming C1816 |
| C1820 | Policies naming C1820 |
| C1822 | Policies naming C1822 |
| C1826 | Policies naming C1826 |
| C1883 | Policies naming C1883 |
| C1897 | Policies naming C1897 |
| L8679 | Policies naming L8679 |
| L8680 | Policies naming L8680 |
| L8685 | Policies naming L8685 |
| L8686 | Policies naming L8686 |
| L8687 | Policies naming L8687 |
| L8688 | Policies naming L8688 |