CPT 64580 · PNS · Medicare (Novitas MAC)
PNS — Open Electrode Placement (neuromuscular) at Medicare (Novitas MAC).
How Medicare (Novitas MAC) approaches CPT 64580 (PNS — Open Electrode Placement (neuromuscular)) for prior-authorization review: at last review on 2026-04-26, the policy covers this code without prior authorization.
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Coverage
Covered
Prior auth
No prior auth
Last reviewed
2026-04-26
Policy number
Clearway-MPG-PNS_Reactiv8Criteria summary
High-level themes from the Medicare (Novitas MAC) 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
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