Prior Auth Required

64642 - Chemodenervation of one extremity; 1-4 muscle(s)

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceChemodenervation of one extremity; 1-4 muscle(s)
Procedure / Service Description

(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) 64644 Chemodenervation of one extremity; 5 or more muscle(s) 64646 Chemodenervation of trunk muscle(s); 1-5 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.