CPT 64646 · Botulinum Toxin · Aetna Better Health of Maryland
Botox — Trunk/Axial Chemodenervation (1–5 muscles) at Aetna Better Health of Maryland.
How Aetna Better Health of Maryland approaches CPT 64646 (Botox — Trunk/Axial Chemodenervation (1–5 muscles)) for prior-authorization review: at last review on 2026-04-27, the policy covers this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
CPB 0113Criteria summary
High-level themes from the Aetna Better Health of Maryland policy of record for CPT 64646. 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.
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 →