CPT 64647 · Botulinum Toxin · Aetna Better Health of New Jersey
Botox — Trunk/Axial Chemodenervation (6+ muscles) at Aetna Better Health of New Jersey.
How Aetna Better Health of New Jersey approaches CPT 64647 (Botox — Trunk/Axial Chemodenervation (6+ 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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CPB 0113Criteria summary
High-level themes from the Aetna Better Health of New Jersey policy of record for CPT 64647. 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 New Jersey criteria.
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