Prior Auth Required

64653 - Chemodenervation of eccrine glands; other Prior Authorization Required Medical Necessity Submit history and physical

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceChemodenervation of eccrine glands; other Prior Authorization Required Medical Necessity Submit history and physical
Procedure / Service Description

axillae documentation of medical necessity. - 64650 Chemodenervation of eccrine glands; both Prior Authorization Required Medical Necessity Submit history and physical, axillae documentation of medical necessity. 64653 Chemodenervation of eccrine glands; other Prior Authorization Required Medical Necessity Submit history and physical, area(s) (eg, scalp, face, neck), per day documentation of medical necessity.

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.