Blue Cross Blue Shield Oklahoma prior authorization 64590

Blue Cross Blue Shield Oklahoma 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: 2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes, Pg 240 Original policy

Blue Cross Blue Shield Oklahoma prior authorization

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