Prior Auth Required

64505 - Injection, Anesthetic Agent; Sphenopalatine Ganglion

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Procedure / ServiceInjection, Anesthetic Agent; Sphenopalatine Ganglion
Procedure / Service Description

guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in - 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) 64520 Injection, Anesthetic Agent; Lumbar/Thoracic (Paravertebral 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.