C9807, Nerve stimulator, percutaneous, peripheral (e.g., sprint peripheral nerveHCPCS/CPT
Prior Auth Required
At least one active policy explicitly requires prior authorization (high confidence)
ANTHEM-SURG.00158, Implantable Peripheral Nerve Stimulation Devices as a Treatment for Pain
EVICORE-HPLAN-CIGNA-3C6BF790C032, Cigna Commercial DME Code List - Effective 03/07/2026
EVICORE-HPLAN-CIGNA-AFCE721BA4F3, Cigna Comprehensive Code List - Effective 03/07/2026
EVICORE-HPLAN-CIGNA-844835841DE9, Cigna Commercial Interventional Pain Management Code List - Effective 03/07/2026
EVICORE-HPLAN-CIGNA-FFF78083B324, Cigna Commercial Other Services Code List - Effective 03/07/2026
BCBSIL-MED205.042, Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions
BCBSMT-MED205.042, Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions
BCBSNM-MED205.042, Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions
BCBSOK-MED205.042, Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions
REGENCE-SUR205, Implantable Peripheral Nerve Stimulation and Peripheral Subcutaneous Field Stimulation
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