CPT 63685 · Neurostimulation Generator · Illinois Medicaid (HFS)
SCS — Permanent Implant (IPG) at Illinois Medicaid (HFS).
How Illinois Medicaid (HFS) approaches CPT 63685 (SCS — Permanent Implant (IPG)) for prior-authorization review: at last review on 2025-11-01, the policy covers this code with prior authorization required.
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Criteria summary
High-level themes from the Illinois Medicaid (HFS) policy of record for CPT 63685. Verbatim policy text and per-criterion analysis are available after sign-in.
- Prior diagnostic procedure documentation required.
Source: Illinois Medicaid (HFS) Neurostimulation Coverage
See the full Illinois Medicaid (HFS) criteria.
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