Prior Auth Required

64612 - Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm

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Procedure / ServiceChemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 64595 Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array 64612 Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) 64615 Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory

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