Aetna Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation prior authorization requirements (2026)
What Aetna generally requires to approve Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation (CPT 63650, 63655, 63663, 63664, 63685, 63688, 63661), for Commercial plans. Yes. Aetna generally requires prior authorization for Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation (CPT 63650, 63655, 63663, 63664, 63685, 63688, 63661).
Medical-necessity criteria Aetna generally applies
Medical necessity review required
Diagnoses that commonly support medical necessity
ICD-10-CM diagnoses frequently associated with medical necessity for Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation. Confirm the covered diagnosis list against the current Aetna policy.
Commonly required documentation
- All requested medical records must be submitted
How to submit
- Method: portal
- Typical turnaround: about 3 days
Source
Includes both trial and permanent implantation procedures Last verified 2026-05-06.
Frequently asked questions
Does Aetna require prior authorization for Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation?
Yes. Aetna generally requires prior authorization for Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation (CPT 63650, 63655, 63663, 63664, 63685, 63688, 63661).
What does Aetna require to approve Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation?
Medical necessity review required Always confirm against the current Aetna policy.
How long does a Aetna prior authorization take?
Aetna typically decides Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation requests in about 3 days. Timeframes vary; check the payer portal.
Submitting Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation to Aetna?
Praxigen checks your clinical note against these criteria before you submit and drafts a policy-cited appeal if it is denied. You review and submit; nothing is sent automatically.