CPT 64580 · PNS · Devoted Health
PNS — Open Electrode Placement (neuromuscular) at Devoted Health.
How Devoted Health approaches CPT 64580 (PNS — Open Electrode Placement (neuromuscular)) for prior-authorization review: at last review on 2026-04-26, the policy does not cover this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
Coverage
Not covered
Prior auth
Prior auth required
Last reviewed
2026-04-26
Policy number
Clearway-MPG-PNS_Reactiv8Criteria summary
High-level themes from the Devoted Health 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.
Source: Clearway Master Payer Guidelines v2025 — PNS_Reactiv8
See the full Devoted Health criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →