Prior Auth Required

64636 - code for primary procedure)

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Servicecode for primary procedure)
Procedure / Service Description

(fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to - Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to 64636 code for primary procedure) 64640 Destruction, Neurolytic; Other Peripheral Nerve/Branch 64642 Chemodenervation of one extremity; 1-4 muscle(s)

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.