CPT 63685 · SCS · Independence Blue Cross
SCS — Permanent Implant (IPG) at Independence Blue Cross.
How Independence Blue Cross approaches CPT 63685 (SCS — Permanent Implant (IPG)) for prior-authorization review: at last review on 2026-01-01, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-01-01
Policy number
IBX-precert-2026-01-01Criteria summary
High-level themes from the Independence Blue Cross policy of record for CPT 63685. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 24 weeks of conservative care typically required.
- Prior Successful 63650 trial documentation required (typically with ≥50% relief).
Source: Independence Blue Cross — Implanted Spinal Cord Stimulators (precert)
See the full Independence Blue Cross criteria.
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