CPT 64590 · PNS · UnitedHealthcare Community Plan of New Jersey
PNS — Generator Insertion at UnitedHealthcare Community Plan of New Jersey.
How UnitedHealthcare Community Plan of New Jersey approaches CPT 64590 (PNS — Generator Insertion) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.
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UHC CP-NJ Provider ManualCriteria summary
High-level themes from the UnitedHealthcare Community Plan of New Jersey policy of record for CPT 64590. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 26 weeks of conservative care typically required.
- Prior Successful PNS trial (CPT 64555) with ≥50% pain relief and functional improvement documentation required (typically with ≥50% relief).
Source: UnitedHealthcare Community Plan of New Jersey — Care Provider Manual (2025/2026)
See the full UnitedHealthcare Community Plan of New Jersey criteria.
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