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並前往https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/implanted-electrical-stimulator-spinal-cord.pdf

Implanted Electrical Stimulator for Spinal Cord - UHCprovider ...

For medical necessity clinical coverage criteria, refer to the InterQual® 2021, Apr. 2021 Release, CP: Procedures, Spinal Cord. Stimulator (SCS) ...

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