CPT 64646 · Botulinum Toxin · Fidelis Care NJ (Centene) — NJ Medicaid
Botox — Trunk/Axial Chemodenervation (1–5 muscles) at Fidelis Care NJ (Centene) — NJ Medicaid.
How Fidelis Care NJ (Centene) — NJ Medicaid approaches CPT 64646 (Botox — Trunk/Axial Chemodenervation (1–5 muscles)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.
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Centene CP.MP / Fidelis NJ Medicaid Provider ManualCriteria summary
High-level themes from the Fidelis Care NJ (Centene) — NJ Medicaid policy of record for CPT 64646. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 12 weeks of conservative care typically required.
See the full Fidelis Care NJ (Centene) — NJ Medicaid criteria.
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