CPT 64480 · Epidural · UnitedHealthcare (Commercial)
TFESI — Cervical/Thoracic (add'l level) at UnitedHealthcare (Commercial).
How UnitedHealthcare (Commercial) approaches CPT 64480 (TFESI — Cervical/Thoracic (add'l level)) for prior-authorization review: at last review on 2026-04-24, the policy covers this code with prior authorization required.
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2026T0616MCriteria summary
High-level themes from the UnitedHealthcare (Commercial) 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: UHC Commercial/Individual Exchange — Epidural Steroid Injections for Spinal Pain
See the full UnitedHealthcare (Commercial) criteria.
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