CPT 64647 · Botulinum Toxin · Sunshine Health (Centene) — Florida Medicaid
Botox — Trunk/Axial Chemodenervation (6+ muscles) at Sunshine Health (Centene) — Florida Medicaid.
How Sunshine Health (Centene) — Florida Medicaid 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.
Free with practitioner sign-in — magic-link email auth, no credit card.
InterQual / Sunshine Pharmacy PACriteria summary
High-level themes from the Sunshine Health (Centene) — Florida Medicaid policy of record for CPT 64647. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 12 weeks of conservative care typically required.
See the full Sunshine Health (Centene) — Florida Medicaid 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 →