Prior Auth Required

64617 - Chemodenervation of muscle(s); larynx, Prior Authorization Required Medical Necessity Submit history and physical

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceChemodenervation of muscle(s); larynx, Prior Authorization Required Medical Necessity Submit history and physical
Procedure / Service Description

muscle(s), excluding muscles of the larynx, documentation of medical necessity. - unilateral (eg, for cervical dystonia, spasmodic torticollis) 64617 Chemodenervation of muscle(s); larynx, Prior Authorization Required Medical Necessity Submit history and physical, unilateral, percutaneous (eg, for spasmodic documentation of medical necessity. dysphonia), includes guidance by needle

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.