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Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache) (for New Mexico Only)
Effective date
Jan 1, 2027
Identified
Nov 7, 2026
Summary
Effective 2027-01-01, UnitedHealthcare Community Plan of New Mexico Medicaid members' occipital nerve injection and ablation coverage policy adds CPT codes 1057T, 1058T, 1059T, 1060T, and 1061T and removes CPT code 64570. Billing teams should update charge entry and claim edits for these codes for New Mexico Medicaid members starting 2027-01-01.
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What to do
Action · 3 steps
01By 2027-01-01: Billing team should add CPT 1057T, 1058T, 1059T, 1060T, and 1061T to the charge master and claim edit lists for UnitedHealthcare Community Plan of New Mexico Medicaid members, and remove CPT 64570 so it is no longer selected on claims for these members.
02Before scheduling occipital nerve injection or ablation procedures for these members on or after 2027-01-01, providers and front desk staff should be told about the code changes so that correct codes are selected at scheduling and encounter entry.
03Claims submitted with removed code 64570 for these members will not match the updated policy coverage, so review the policy text for any prior authorization or documentation requirements tied to the new codes before submitting claims.
Codes mentioned
64570
Original notice
Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache) (for New Mexico Only)
uhcprovider.com · Always check the source before changing claims.
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