TRICARE Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation prior authorization requirements (2026)
What TRICARE generally requires to approve Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation (CPT 63650, 63655, 63663, 63664, 63685, 63688, 63661), for tricare plans. Yes. TRICARE generally requires prior authorization for Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation (CPT 63650, 63655, 63663, 63664, 63685, 63688, 63661).
Medical-necessity criteria TRICARE generally applies
Spinal cord stimulator covered for chronic intractable pain (TPM Section 20.1) as implanted surgery; verify authorization/notification with Humana Military.
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 TRICARE policy.
How to submit
- Method: Humana Military self-service
- Portal: Humana Military
Sources & verification
- BindingSource — TRICARE Policy Manual 6010.60-M, Ch 4 Sec 20.1 (Nervous System) · effective 2021-03-12.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 TRICARE require prior authorization for Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation?
Yes. TRICARE generally requires prior authorization for Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation (CPT 63650, 63655, 63663, 63664, 63685, 63688, 63661).
What does TRICARE require to approve Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation?
Spinal cord stimulator covered for chronic intractable pain (TPM Section 20.1) as implanted surgery; verify authorization/notification with Humana Military. Always confirm against the current TRICARE policy.
How long does a TRICARE prior authorization take?
Turnaround varies by plan and submission method. Check the TRICARE portal for current timeframes.
Submitting Dorsal Column (Lumbar) Neurostimulators: Trial or Implantation to TRICARE?
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.