Prior Auth Required

64495 - and any additional level(s) (List separately in addition to code for primary procedure)

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Serviceand any additional level(s) (List separately in addition to code for primary procedure)
Procedure / Service Description

guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in - Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third 64495 and any additional level(s) (List separately in addition to code for primary procedure) 64505 Injection, Anesthetic Agent; Sphenopalatine Ganglion 64510 Injection, Anesthetic Agent; Stellate Ganglion (Cervical Sympathetic)

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.