Rubrica

CPT 64451 · SI Joint · Humana Healthy Horizons in Florida

SI Joint Nerve Block (S1–S3 lateral branches) at Humana Healthy Horizons in Florida.

How Humana Healthy Horizons in Florida approaches CPT 64451 (SI Joint Nerve Block (S1–S3 lateral branches)) for prior-authorization review: at last review on 2026-05-06, the policy does not cover this code with prior authorization required.

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Coverage Not covered
Prior auth Prior auth required
Last reviewed 2026-05-06
Policy numberHUM-2137-000

Criteria summary

High-level themes from the Humana Healthy Horizons in Florida policy of record for CPT 64451. Verbatim policy text and per-criterion analysis are available after sign-in.

Coverage criteria details available after sign-in.

Source: Humana MCP HUM-2137-000 — Injections for Chronic Pain Conditions (excludes lateral branch blocks)

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