CPT 64590 · PNS · Priority Partners MCO
PNS — Generator Insertion at Priority Partners MCO.
How Priority Partners MCO approaches CPT 64590 (PNS — Generator Insertion) for prior-authorization review: at last review on 2026-04-27, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-04-27
Policy number
eviCore CMM-211Criteria summary
High-level themes from the Priority Partners MCO policy of record for CPT 64590. Verbatim policy text and per-criterion analysis are available after sign-in.
- Prior Successful PNS lead placement / trial documentation required (typically with ≥50% relief).
Source: JHHC / eviCore CMM-211 — Peripheral Nerve Stimulation (Priority Partners)
See the full Priority Partners MCO criteria.
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