CPT 63688 · SCS · Maryland Medicaid
SCS — Generator Revision/Removal at Maryland Medicaid.
How Maryland Medicaid approaches CPT 63688 (SCS — Generator Revision/Removal) 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 Maryland Medicaid policy of record for CPT 63688. 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 Maryland Medicaid criteria.
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