CPT 64580 · PNS · Simply Healthcare Plans (Anthem/Elevance) — Florida Medicaid
PNS — Open Electrode Placement (neuromuscular) at Simply Healthcare Plans (Anthem/Elevance) — Florida Medicaid.
How Simply Healthcare Plans (Anthem/Elevance) — Florida Medicaid approaches CPT 64580 (PNS — Open Electrode Placement (neuromuscular)) for prior-authorization review: at last review on 2026-05-06, the policy does not cover this code with prior authorization required.
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CG-SURG-26 / SURG.00007Criteria summary
High-level themes from the Simply Healthcare Plans (Anthem/Elevance) — Florida Medicaid policy of record for CPT 64580. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
Source: Anthem Medical Policy CG-SURG-26 / SURG.00007 — Peripheral Nerve Stimulation
See the full Simply Healthcare Plans (Anthem/Elevance) — Florida Medicaid criteria.
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