Prior Auth Required

64629 - procedure)

This procedure appears on the selected insurer prior authorization source.

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Procedure / Serviceprocedure)
Procedure / Service Description

additional vertebral body, lumbar or sacral (List separately in addition to code for primary - Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary 64629 procedure) Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance 64633 (fluoroscopy or CT); cervical or thoracic, single facet joint

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.