≥50% objective pain reduction (trial phase)
Missing this triggers an immediate lack-of-medical-necessity denial.
Denial-data diagnostics · CPT 63650 / 63685
Find the SCS implant revenue leaking from missing documentation.
Aevitex reviews your historical, de-identified denial data and shows exactly where spinal cord stimulator authorizations stall — before the next packet ships.
No live PHI · No EHR integration · Diagnostic only
The four requirements every SCS authorization hinges on
Most CPT 63685 first-pass denials trace back to four payer-mandatory requirements. When one is missing or unlinked, the packet stalls.
Psychological clearance
Required before a permanent implant.
≥6 months of failed conservative care
Required for stepwise-treatment verification.
Correlative imaging (MRI/CT)
Required to document the underlying pathology.
How it works
Send historical data
De-identified denial notes, EOBs, exports, spreadsheets, PDFs. No live PHI, no EHR access, no portal credentials.
We run the diagnostic
An air-gapped, deterministic engine audits every 63650/63685 case against the four requirements. Nothing leaves your environment; gaps are reported, never inferred.
You get the blueprint
In seven days: a Clinical Documentation Matrix, failure modes ranked by recoverable exposure, and the workflow fixes to make before your next packet.
A look at the deliverable
Every case scored against the four requirements — Yes, No, or Missing. Nothing inferred, nothing fabricated.
Sample diagnostic output (anonymized)
Clinical Documentation Matrix
Status
≥50% objective pain reduction (trial phase)
Missing
Psychological clearance
Yes
≥6 months of failed conservative care
Missing
Correlative imaging (MRI/CT)
Yes
Failure modes, ranked by recoverable exposure
50% trial metric absent
$75,000
Psych clearance not linked
$37,500
Payer packet mismatch
$37,500
Synthetic sample. No PHI. Illustrative only.
If it's not a fit, we stop.
If your data shows no measurable CPT 63685 denial pattern, we tell you and stop before billing the full diagnostic.
Turn historical denials into your next workflow fix.
Built for independent interventional pain practices that want a credible 63685 denial diagnostic before investing in heavier automation.