Prior Auth Required

64615 - Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceChemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 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 nerves, bilateral (eg, for chronic migraine) 64633 Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT);

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.