CPT 64615 · Botulinum Toxin · UnitedHealthcare Community Plan of New Jersey
Botox — Chronic Migraine Chemodenervation at UnitedHealthcare Community Plan of New Jersey.
How UnitedHealthcare Community Plan of New Jersey approaches CPT 64615 (Botox — Chronic Migraine Chemodenervation) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
UHC CP-NJ Provider ManualCriteria summary
High-level themes from the UnitedHealthcare Community Plan of New Jersey policy of record for CPT 64615. Verbatim policy text and per-criterion analysis are available after sign-in.
- Conservative care expectations vary; sign in for specifics.
Source: UnitedHealthcare Community Plan of New Jersey — Care Provider Manual (2025/2026)
See the full UnitedHealthcare Community Plan of New Jersey criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →