NY State Workers' Comp Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation prior authorization requirements (2026)
What NY State Workers' Comp generally requires to approve Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation (CPT 63650, 63655, 63663, 63664, 63685, 63688, 63661), for workers_comp plans. Yes. NY State Workers' Comp generally requires prior authorization for Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation (CPT 63650, 63655, 63663, 63664, 63685, 63688, 63661).
Medical-necessity criteria NY State Workers' Comp generally applies
Spinal cord stimulator ALWAYS requires prior authorization (324.3 pre-auth list): conditional pre-authorization for a screening trial, then a separate authorization for permanent implant; requires a comprehensive psychological evaluation with no primary psychiatric red flags. Request via OnBoard.
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 NY State Workers' Comp policy.
How to submit
- Method: OnBoard PAR
- Portal: NY WCB OnBoard
Sources & verification
- BindingSource — NY WCB Non-Acute Pain Medical Treatment Guidelines · effective 2022-05-02.View
Binding = the payer's own policy. Proxy = a public, evidence-based clinical guideline the payer mirrors. Portal-only = the binding criteria are confirmed in the administrator's portal. Always confirm against the payer for the member's specific plan. Last verified 2026-06-25.
Frequently asked questions
Does NY State Workers' Comp require prior authorization for Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation?
Yes. NY State Workers' Comp generally requires prior authorization for Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation (CPT 63650, 63655, 63663, 63664, 63685, 63688, 63661).
What does NY State Workers' Comp require to approve Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation?
Spinal cord stimulator ALWAYS requires prior authorization (324.3 pre-auth list): conditional pre-authorization for a screening trial, then a separate authorization for permanent implant; requires a comprehensive psychological evaluation with no primary psychiatric red flags. Request via OnBoard. Always confirm against the current NY State Workers' Comp policy.
How long does a NY State Workers' Comp prior authorization take?
Turnaround varies by plan and submission method. Check the NY State Workers' Comp portal for current timeframes.
Submitting Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation to NY State Workers' Comp?
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.