Premera Blue Cross of Washington prior authorization 63662

Premera Blue Cross of Washington prior authorization for 63662: Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed These criteria do not imply or guarantee approval.

Code: 63662
Description: Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 376 Original policy

Premera Blue Cross of Washington prior authorization

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