CPT 64615 · Botulinum Toxin · Aetna Better Health of Maryland
Botox — Chronic Migraine Chemodenervation at Aetna Better Health of Maryland.
How Aetna Better Health of Maryland approaches CPT 64615 (Botox — Chronic Migraine Chemodenervation) for prior-authorization review: at last review on 2026-04-27, the policy covers this code with prior authorization required.
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CPB 0113Criteria summary
High-level themes from the Aetna Better Health of Maryland policy of record for CPT 64615. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 8 weeks of conservative care typically required.
Source: Aetna CPB 0113 — Botulinum Toxin
See the full Aetna Better Health of Maryland criteria.
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