Blue Cross and Blue Shield of Montana prior authorization 63664

Blue Cross and Blue Shield of Montana prior authorization for 63664: Revision Including Replacement When Performed Of Spinal Neurostimulator Electrode Plate/Paddle(S) Placed Via Laminotomy Or Laminectomy Including Fluoroscopy When Performed

Code: 63664
Description: Revision Including Replacement When Performed Of Spinal Neurostimulator Electrode Plate/Paddle(S) Placed Via Laminotomy Or Laminectomy Including Fluoroscopy When Performed
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 65 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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