CPT 64405 · Peripheral Nerve Block · Pennsylvania Medical Assistance
Occipital Nerve Block at Pennsylvania Medical Assistance.
How Pennsylvania Medical Assistance approaches CPT 64405 (Occipital Nerve Block) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.
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Criteria summary
High-level themes from the Pennsylvania Medical Assistance policy of record for CPT 64405. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
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