CPT 64480 · Epidural · CareFirst BCBS Community Health Plan Maryland (CHPMD)
TFESI — Cervical/Thoracic (add'l level) at CareFirst BCBS Community Health Plan Maryland (CHPMD).
How CareFirst BCBS Community Health Plan Maryland (CHPMD) approaches CPT 64480 (TFESI — Cervical/Thoracic (add'l level)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code without prior authorization.
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L36920Criteria summary
High-level themes from the CareFirst BCBS Community Health Plan Maryland (CHPMD) policy of record for CPT 64480. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 4 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: Maryland Medicaid Professional Services Provider Manual & Fee Schedule (FFS)
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