Blue Cross Blue Shield Minnesota policy
Sacral Nerve Neuromodulation/Stimulation for Selected Conditions
Sacral Nerve Neuromodulation/Stimulation for Selected Conditions is a public Blue Cross Blue Shield Minnesota policy (policy IV-83, effective Sep 1, 2025). It lists 19 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
- Policy number
- IV-83
- Effective
- Sep 1, 2025
- Line of business
- Commercial, Medicaid
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Blue Cross Blue Shield Minnesota policies |
|---|---|
| 0786T | Policies naming 0786T |
| 0787T | Policies naming 0787T |
| 0788T | Policies naming 0788T |
| 0789T | Policies naming 0789T |
| 64561 | Policies naming 64561 |
| 64581 | Policies naming 64581 |
| 64590 | Policies naming 64590 |
| 95970 | Policies naming 95970 |
| 95971 | Policies naming 95971 |
| 95972 | Policies naming 95972 |
| A4290 | Policies naming A4290 |
| E0745 | Policies naming E0745 |
| E1399 | Policies naming E1399 |
| L8680 | Policies naming L8680 |
| L8681 | Policies naming L8681 |
| L8685 | Policies naming L8685 |
| L8686 | Policies naming L8686 |
| L8687 | Policies naming L8687 |
| L8688 | Policies naming L8688 |