Prior Auth Required

64628 - vertebral bodies, lumbar or sacral

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicevertebral bodies, lumbar or sacral
Procedure / Service Description

Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 - 64625 fluoroscopy or computed tomography) Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 64628 vertebral bodies, lumbar or sacral Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.