CPT 64647 · Chemodenervation · Medicare (NGS MAC)
Botox — Trunk/Axial Chemodenervation (6+ muscles) at Medicare (NGS MAC).
How Medicare (NGS MAC) approaches CPT 64647 (Botox — Trunk/Axial Chemodenervation (6+ muscles)) for prior-authorization review: at last review on 2026-05-02, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-02
Criteria summary
High-level themes from the Medicare (NGS MAC) 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.
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