CPT 63650 · SCS · Regence BlueShield
SCS — Percutaneous Trial at Regence BlueShield.
How Regence BlueShield approaches CPT 63650 (SCS — Percutaneous Trial) for prior-authorization review: at last review on Date not on file, the policy covers this code with prior authorization required.
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TBDVerification pending. This record is awaiting confirmation against the latest policy document — criteria summary may not reflect the current revision.
Criteria summary
High-level themes from the Regence BlueShield 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.
- Imaging concordance documentation required.
Source: Regence Medical Policies — SCS
See the full Regence BlueShield criteria.
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