Prior Auth Required

64605 - Destruction, Neurolytic, Trigeminal Nerve; 2nd & 3rd Division

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceDestruction, Neurolytic, Trigeminal Nerve; 2nd & 3rd Division
Procedure / Service Description

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 Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when

Likely documents
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Next actions
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