CPT 64405 · Peripheral Nerve Block · Aetna Medicare Advantage
Occipital Nerve Block at Aetna Medicare Advantage.
How Aetna Medicare Advantage approaches CPT 64405 (Occipital Nerve Block) for prior-authorization review: at last review on 2026-05-08, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-08
Criteria summary
High-level themes from the Aetna Medicare Advantage policy of record for CPT 64405. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 4 weeks of conservative care typically required.
See the full Aetna Medicare Advantage criteria.
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