Cigna prior authorization 64590*
Cigna 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
- Master Precertification List For Health Care Providers, Pg 52 Original policy