CPT 63685 · SCS · Regence BlueShield
SCS — Permanent Implant (IPG) at Regence BlueShield.
How Regence BlueShield approaches CPT 63685 (SCS — Permanent Implant (IPG)) for prior-authorization review: at last review on Date not on file, the policy covers this code with prior authorization required.
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TBDVerification pending. This record is awaiting confirmation against the latest policy document — criteria summary may not reflect the current revision.
Criteria summary
High-level themes from the Regence BlueShield 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 trial 63650 documentation required (typically with ≥50% relief).
See the full Regence BlueShield criteria.
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