Medical Policy Revision: Ablation of Peripheral Nerves to Treat Pain

Effective June 4, 2020, Horizon BCBSNJ will change the way we consider certain professional claims based on revisions to our medical policy, Ablation of Peripheral Nerves to Treat Pain.

Access our Medical Policy Manual to review this medical policy content.

Claims submitted for services provided on and after June 4, 2020 to patients enrolled in Horizon BCBSNJ commercial and Administrative Services Only (ASO) plans will be processed as follows.

• Based on the submitted diagnosis code(s), the services represented by CPT® code 64640 may be denied as experimental/investigational non-covered services.

Unless Horizon BCBSNJ gives written notice that all or part of the above changes have been canceled or postponed, the changes will be applied to claims for dates of service on and after June 4, 2020.

CPT® is a registered mark of the American Medical Association.