CPT 63685 · SCS · BCBS Federal Employee Program
SCS — Permanent Implant (IPG) at BCBS Federal Employee Program.
How BCBS Federal Employee Program approaches CPT 63685 (SCS — Permanent Implant (IPG)) for prior-authorization review: at last review on 2026-04-27, the policy covers this code with prior authorization required.
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BCBSA EPS 7.01.25 / FEP reference policyCriteria summary
High-level themes from the BCBS Federal Employee Program policy of record for CPT 63685. 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.
- Prior Successful SCS trial via 63650 documentation required (typically with ≥50% relief).
Source: BCBSA EPS 7.01.25 reference — Spinal Cord and Dorsal Root Ganglion Stimulation
See the full BCBS Federal Employee Program criteria.
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