CPT 63650 · SCS · UnitedHealthcare (Commercial)
SCS — Percutaneous Trial at UnitedHealthcare (Commercial).
How UnitedHealthcare (Commercial) 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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2026T0567DDCriteria summary
High-level themes from the UnitedHealthcare (Commercial) policy of record for CPT 63650. Verbatim policy text and per-criterion analysis are available after sign-in.
- Conservative care expectations vary; sign in for specifics.
- Prior diagnostic procedure documentation required.
Source: UHC Commercial/Individual Exchange — Implanted Electrical Stimulator for the Spinal Cord
See the full UnitedHealthcare (Commercial) criteria.
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