CPT 64580 · PNS · Aetna Better Health of Maryland
PNS — Open Electrode Placement (neuromuscular) at Aetna Better Health of Maryland.
How Aetna Better Health of Maryland approaches CPT 64580 (PNS — Open Electrode Placement (neuromuscular)) for prior-authorization review: at last review on 2026-04-27, the policy covers this code with prior authorization required.
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CPB 0844Criteria summary
High-level themes from the Aetna Better Health of Maryland policy of record for CPT 64580. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 12 weeks of conservative care typically required.
- Prior Diagnostic peripheral nerve block at the target nerve documentation required (typically with ≥50% relief).
Source: Aetna CPB 0844 — Peripheral Subcutaneous Field Stimulation / Peripheral Nerve Stimulation
See the full Aetna Better Health of Maryland criteria.
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