CPT 64405 · Peripheral Nerve Block · Wellpoint Maryland
Occipital Nerve Block at Wellpoint Maryland.
How Wellpoint Maryland 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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Criteria summary
High-level themes from the Wellpoint Maryland 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.
Source: MD Medicaid FFS / Novitas JL — case-by-case (no Wellpoint-specific or LCD criteria for these codes)
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