Blue Cross Blue Shield Oklahoma policy
Percutaneous Electrical Nerve Stimulation, Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation Therapy
Percutaneous Electrical Nerve Stimulation, Percutaneous Neuromodulation Therapy, and Restorative Neurostimulation Therapy is a public Blue Cross Blue Shield Oklahoma policy (policy MED205.032, effective Oct 15, 2025). It lists 4 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Policy number
- MED205.032
- Effective
- Oct 15, 2025
- 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. Open official prior authorization lists to check the member’s product.
| Code | Other Blue Cross Blue Shield Oklahoma policies |
|---|---|
| 64553 | Policies naming 64553 |
| 64561 | Policies naming 64561 |
| 64590 | Policies naming 64590 |
| 64999 | Policies naming 64999 |
All Blue Cross Blue Shield Oklahoma policies · Blue Cross Blue Shield Oklahoma prior authorization CPT list