CPT 64451 · Peripheral Nerve Block · UnitedHealthcare Community Plan (Medicaid)
SI Joint Nerve Block (S1–S3 lateral branches) at UnitedHealthcare Community Plan (Medicaid).
How UnitedHealthcare Community Plan (Medicaid) 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 without prior authorization.
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Criteria summary
High-level themes from the UnitedHealthcare Community Plan (Medicaid) 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: UnitedHealthcare Community Plan Medicaid Coverage Policy — Nerve Blocks
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