CPT 63685 · SCS · UnitedHealthcare Community Plan of New Jersey
SCS — Permanent Implant (IPG) at UnitedHealthcare Community Plan of New Jersey.
How UnitedHealthcare Community Plan of New Jersey approaches CPT 63685 (SCS — Permanent Implant (IPG)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-06
Policy number
2026T0567DDCriteria summary
High-level themes from the UnitedHealthcare Community Plan of New Jersey policy of record for CPT 63685. Verbatim policy text and per-criterion analysis are available after sign-in.
- Conservative care expectations vary; sign in for specifics.
- Prior Successful SCS trial (CPT 63650) documentation required (typically with ≥50% relief).
See the full UnitedHealthcare Community Plan of New Jersey criteria.
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