CPT 63688 · SCS · Medicare (National NCDs)
SCS — Generator Revision/Removal at Medicare (National NCDs).
How Medicare (National NCDs) approaches CPT 63688 (SCS — Generator Revision/Removal) for prior-authorization review: at last review on 2026-05-09, the policy covers this code without prior authorization.
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Clearway-MPG-SCSCriteria summary
High-level themes from the Medicare (National NCDs) 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: NCD 160.7 — Electrical Nerve Stimulators (Dorsal Column / Spinal Cord Stimulators)
See the full Medicare (National NCDs) criteria.
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