CPT 63685 · SCS · CareFirst BCBS
SCS — Permanent Implant (IPG) at CareFirst BCBS.
How CareFirst BCBS approaches CPT 63685 (SCS — Permanent Implant (IPG)) for prior-authorization review: at last review on 2025-07-22, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2025-07-22
Policy number
CareFirst-MP-SCSCriteria summary
High-level themes from the CareFirst BCBS 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 SCS Trial (CPT 63650) documentation required (typically with ≥50% relief).
Source: CareFirst BCBS Medical Policy — Spinal Cord Stimulators
See the full CareFirst BCBS criteria.
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