CPT 64479 · ESI · Horizon BCBS NJ
TFESI — Cervical/Thoracic (1st level) at Horizon BCBS NJ.
How Horizon BCBS NJ approaches CPT 64479 (TFESI — Cervical/Thoracic (1st level)) for prior-authorization review: at last review on 2026-05-10, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-10
Policy number
156Criteria summary
High-level themes from the Horizon BCBS NJ policy of record for CPT 64479. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 6 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: Horizon BCBSNJ Medical Policy 156 - Epidural Steroid Injections
See the full Horizon BCBS NJ criteria.
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