CPT 63650 · SCS · BCBS New Mexico
SCS — Percutaneous Trial at BCBS New Mexico.
How BCBS New Mexico approaches CPT 63650 (SCS — Percutaneous Trial) for prior-authorization review: at last review on 2024-10-28, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2024-10-28
Policy number
MSK01-0725.1v2Criteria summary
High-level themes from the BCBS New Mexico 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 BCBS New Mexico criteria.
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