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On Feb. 21, 2024, Change Healthcare experienced a cyber security incident. Any individuals impacted by this incident will receive a letter in the mail. Learn more about this from Change Healthcare, or reach out to the contact center at 1-866-262-5342.

On Feb. 21, 2024, Change Healthcare experienced a cyber security incident. Any individuals impacted by this incident will receive a letter in the mail. Learn more about this from Change Healthcare, or reach out to the contact center at 1-866-262-5342.

Which Pain Management Codes Do Not Require Prior Authorization?

Date: 03/01/16

All providers, regardless of specialty, require an authorization to perform pain management procedures. Effective April 1, Superior will continue to require prior authorization on all pain management procedure codes, except for the Current Procedural Terminology (CPT) codes listed below.

  • 62355 REMOV PREV IMPLNT INTRATHECAL/EPIDURAL CATH
  • 62365 REMOV PREV IMPLNT SUBQ RESERVOIR/PUMP
  • 62367 ELEC ANALYS SPINE INFUS PUMP
  • 62369 ELEC ANALYS ANAL SP INF PMP W/REPRG&FILL
  • 63661 REMOVE SPINE ELTRD PERQ ARAY
  • 63662 REMOVE SPINE ELTRD PLATE
  • 63688 REVIS/REMOV IMPLNT SPINAL NEUROSTIM PULSE GEN
  • 62368 ELEC ANALYS PROGRAMBLE IMPLNT PUMP; W/REPROGRAM
  • 62370 ELEC ANALYS ANL SP INF PMP W/MDREPRG&FIL
  • 64585 REVISE/REMOVE NEUROELECTRODE
  • 64595 REVIS/REMOV PERIPHERAL NEUROSTIM PULSE GEN

For questions, please contact the Superior Prior Authorization department at 1-800-218-7508.