CPT 64480 · Epidural · Medicare (Palmetto GBA MAC)
TFESI — Cervical/Thoracic (add'l level) at Medicare (Palmetto GBA MAC).
How Medicare (Palmetto GBA MAC) approaches CPT 64480 (TFESI — Cervical/Thoracic (add'l level)) for prior-authorization review: at last review on 2026-05-09, the policy covers this code without prior authorization.
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L38994Criteria summary
High-level themes from the Medicare (Palmetto GBA MAC) 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: LCD L38994 — Epidural Steroid Injections for Pain Management (Palmetto)
See the full Medicare (Palmetto GBA MAC) criteria.
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