3 commercial payer policies list 64630. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
Free account. Policy pages stay open to everyone.
3 policies from 2 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 64630 |
|---|---|---|
| Levator Syndrome Treatments | Sep 19, 2023 | Covered |
| Vulvodynia and Vulvar Vestibulitis Treatments | Oct 26, 2023 | Covered |
| Policy | Effective | Status of 64630 |
|---|---|---|
| Neuroablative Techniques for Chronic Pain | Aug 6, 2026 | Covered |