Rubrica

CPT 64451 · SI Joint · Highmark Wholecare — PA HealthChoices

SI Joint Nerve Block (S1–S3 lateral branches) at Highmark Wholecare — PA HealthChoices.

How Highmark Wholecare — PA HealthChoices approaches CPT 64451 (SI Joint Nerve Block (S1–S3 lateral branches)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.

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Coverage Covered
Prior auth Prior auth required
Last reviewed 2026-05-06
Policy numberHealthHelp IPM — SI Joint / Lateral Branch Blocks

Criteria summary

High-level themes from the Highmark Wholecare — PA HealthChoices policy of record for CPT 64451. Verbatim policy text and per-criterion analysis are available after sign-in.

Source: Highmark Wholecare PA Medicaid Prior Authorization List (eff 05/01/2026) — HealthHelp delegated for MSK / IPM

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