SCS — Percutaneous Trial at Aetna.
How Aetna approaches CPT 63650 (SCS — Percutaneous Trial) for prior-authorization review: at last review on 2026-04-24, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-04-24
Policy number
CPB 0194Criteria summary
High-level themes from the Aetna policy of record for CPT 63650. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 26 weeks of conservative care typically required.
See the full Aetna criteria.
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