Prior Auth Required
64610 - Destruction, Neurolytic, Trigeminal Nerve; 2nd & 3rd Division W/Radiologic Monitoring
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceDestruction, Neurolytic, Trigeminal Nerve; 2nd & 3rd Division W/Radiologic Monitoring
Procedure / Service Description
neurostimulator, including imaging guidance, when performed; each additional electrode array - 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 64624 performed
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.