8 commercial payer policies list 63190. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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8 policies from 7 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 63190 |
|---|---|---|
| Headaches: Invasive Procedures | Feb 20, 2024 | Covered |
| Spasticity Management | Jun 21, 2023 | Covered |
| Policy | Effective | Status of 63190 |
|---|---|---|
| Selective Dorsal Rhizotomy for Spasticity in Cerebral Palsy | Not recorded | Covered |
| Policy | Effective | Status of 63190 |
|---|---|---|
| Sacral Nerve Stimulation for Urinary Retention, Urinary Incontinence, and Fecal Incontinence | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 63190 |
|---|---|---|
| Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache) | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 63190 |
|---|---|---|
| Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache) | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 63190 |
|---|---|---|
| Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache) | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 63190 |
|---|---|---|
| Spine Procedures | Not recorded | Covered |