CPT 63685 · SCS · MedStar Family Choice Medicaid
SCS — Permanent Implant (IPG) at MedStar Family Choice Medicaid.
How MedStar Family Choice Medicaid approaches CPT 63685 (SCS — Permanent Implant (IPG)) for prior-authorization review: at last review on 2026-04-26, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-04-26
Policy number
Clearway-MPG-SCSCriteria summary
High-level themes from the MedStar Family Choice Medicaid 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.
- Prior diagnostic procedure documentation required.
Source: Clearway Master Payer Guidelines v2025 — SCS
See the full MedStar Family Choice Medicaid criteria.
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