Prior Auth Required

64597 - (List separately in addition to code for primary procedure)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service(List separately in addition to code for primary procedure)
Procedure / Service Description

neurostimulator, including imaging guidance, when performed; each additional electrode array - Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array 64597 (List separately in addition to code for primary procedure) 64600 Destruction, Neurolytic, Trigeminal Nerve; Supraorbital/Infraorbital/Mental/Inferior Alveolar 64605 Destruction, Neurolytic, Trigeminal Nerve; 2nd & 3rd Division

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.