64435 Insurance Policy Changes

CPT 64435, in plain terms, covers Injection of medication around the accessory nerve using an ultrasound or other imaging guidance to reduce pain or muscle tension. CPT 64435 is referenced in 2 tracked payer policy changes from Aetna and New Jersey Medicaid. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 64435 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 64435 on AAPC