Prior Auth Required

64407 - procedure. Providers must bill using CPT-4 codes (range ) and appropriate modifiers

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Serviceprocedure. Providers must bill using CPT-4 codes (range ) and appropriate modifiers
Procedure / Service Description

noted above, providers must follow any applicable prior authorization requirements applicable to the - nerve pain blocks. Providers may bill for the provision of post-operative pain blocks administered to patients where the post-operative pain block was provided on the same date of service as the surgical procedure. Providers must bill using CPT-4 codes (range 64400–64530) and appropriate modifiers. Surgical Implants: Providers billing for surgical implants must include a copy of the invoice for the item and the authorization number with the claim. See Policy 600-1011 – Surgical Implantable Devices Billed with

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.