Prior Auth Required

64550 - 9/1/2021 Removed termed code from Procedure Codes section

This procedure appears on the selected insurer prior authorization source.

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Procedure / Service9/1/2021 Removed termed code from Procedure Codes section
Procedure / Service Description

Effective Date Update - 8/1/2023 Added coverage information on supply code A4595 to the Policy Considerations section. 9/1/2021 Removed termed code 64550 from Procedure Codes section. Corrected verbiage in second to last bullet for criteria for patients

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.