Prior Auth Required

64600 - Destruction, Neurolytic, Trigeminal Nerve; Supraorbital/Infraorbital/Mental/Inferior Alveolar

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceDestruction, Neurolytic, Trigeminal Nerve; Supraorbital/Infraorbital/Mental/Inferior Alveolar
Procedure / Service Description

neurostimulator, including imaging guidance, when performed; each additional electrode array - 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 64610 Destruction, Neurolytic, Trigeminal Nerve; 2nd & 3rd Division W/Radiologic Monitoring

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.