CPT 64555 · PNS · Amerigroup
PNS — Percutaneous Lead Trial/Placement at Amerigroup.
How Amerigroup approaches CPT 64555 (PNS — Percutaneous Lead Trial/Placement) 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-PNS_Reactiv8Criteria summary
High-level themes from the Amerigroup policy of record for CPT 64555. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 12 weeks of conservative care typically required.
Source: Clearway Master Payer Guidelines v2025 — PNS_Reactiv8
See the full Amerigroup criteria.
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