CPT 64405 · Peripheral Nerve Block · Priority Partners MCO
Occipital Nerve Block at Priority Partners MCO.
How Priority Partners MCO approaches CPT 64405 (Occipital Nerve Block) for prior-authorization review: at last review on 2026-04-27, the policy covers this code without prior authorization.
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Coverage
Covered
Prior auth
No prior auth
Last reviewed
2026-04-27
Criteria summary
High-level themes from the Priority Partners MCO 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.
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