CPT 64451 · SI Joint · UnitedHealthcare Community Plan of Pennsylvania
SI Joint Nerve Block (S1–S3 lateral branches) at UnitedHealthcare Community Plan of Pennsylvania.
How UnitedHealthcare Community Plan of Pennsylvania 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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2026T0621NCriteria summary
High-level themes from the UnitedHealthcare Community Plan of Pennsylvania 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.
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