CPT 64480 · Epidural · Horizon NJ Health — NJ Medicaid
TFESI — Cervical/Thoracic (add'l level) at Horizon NJ Health — NJ Medicaid.
How Horizon NJ Health — NJ Medicaid 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 with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
156Criteria summary
High-level themes from the Horizon NJ Health — NJ Medicaid policy of record for CPT 64480. 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 NJ Health — NJ Medicaid criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →