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PAYER POLICY CHANGES

64734 Insurance Policy Changes

CPT 64734, in plain terms, covers Surgery to cut or avulse the infraorbital nerve to relieve pain in the cheek area. CPT 64734 is referenced in 1 tracked payer policy change from Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 64734 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 64734 on AAPC

Watch 64734

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REFERENCE DATA

Payers with rules8
Payers requiring prior auth8
  • Anthem BCBS · Effective November 1, 2026

    Prior authorization required

    Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial)

  • Elevance Health · Effective February 11, 2026

    Prior authorization required

    List of items and services that require prior authorization (Medicaid GA)

  • BCBS Illinois · Effective January 1, 2026

    Prior authorization required in some cases

    2026 Commercial Outpatient Medical Surgical Prior Authorization Codes

FREQUENTLY ASKED QUESTIONS

Does Anthem BCBS require prior authorization for 64734?

Anthem BCBS lists 64734 on Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial) for commercial plans (list dated November 1, 2026). Verify with the payer before scheduling.

Does BCBS Illinois require prior authorization for 64734?

BCBS Illinois lists 64734 on 2026 Commercial Outpatient Medical Surgical Prior Authorization Codes for commercial plans, with conditions (list dated January 1, 2026). Verify with the payer before scheduling.

Does BCBS New Mexico require prior authorization for 64734?

BCBS New Mexico lists 64734 on 2026 Commercial Outpatient Medical Surgical ASO Medical Surgical Procedure Code List for commercial plans, with conditions (list dated January 1, 2026). Verify with the payer before scheduling.

Does BCBS Oklahoma require prior authorization for 64734?

BCBS Oklahoma lists 64734 on 2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes for commercial plans, with conditions (list dated January 1, 2026). Verify with the payer before scheduling.

Does BCBS Texas require prior authorization for 64734?

BCBS Texas lists 64734 on 2026 Commercial Prior Authorization Codes for Adminstrative Services Only for commercial plans, with conditions (list dated January 1, 2026). Verify with the payer before scheduling.

What insurance policy changes affect CPT 64734?

There are 1 tracked policy change affecting CPT 64734, including updates from Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 64734?

Payers that have issued tracked updates for CPT 64734 include: Aetna.

How do I get notified when CPT 64734 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 64734. You will get an email when new policy changes reference this code: daily or weekly, your choice, on every plan.

Why do payers change policies for CPT 64734?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

See every payer rule for 64734

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 64734 in one place.

See every payer rule

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