CPT 64483 · Peripheral Nerve Block · California Medicaid (Medi-Cal)
TFESI — Lumbar/Sacral (1st level) at California Medicaid (Medi-Cal).
How California Medicaid (Medi-Cal) approaches CPT 64483 (TFESI — Lumbar/Sacral (1st level)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.
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Criteria summary
High-level themes from the California Medicaid (Medi-Cal) policy of record for CPT 64483. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
Source: California Medicaid (Medi-Cal) Coverage for Peripheral Nerve Blocks
See the full California Medicaid (Medi-Cal) criteria.
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