Prior Auth Required

64480 - *

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Service*
Procedure / Service Description

Pain Management Procedures - Pain Management Procedures 27096 62264 62322 62323 62362 63650 63662 63685 64461 64479 64484 64488 64491 64494 64633 64636 97810* 97814* 27279 62320 62350 62360 62367 63655 63663 63688 64462 64480 64486 64489 64492 64495 64634 64640 97811* G0260 62263 62321 62351 62361 62368 63661 63664 64450 64463 64483 64487 64490 64493 64600 64635 77003 97813* S8930 *PA at the 31st visit per calendar year. Ohio Department of Medicaid allows up to 30 visits per calendar year for low back or migraines without PA (total of 30 units and not code specific. Once 30 units are met, the codes

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.