Prior Auth Required

64633 - Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT)

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceDestruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT)
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 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); cervical or thoracic, single facet joint 64634

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