CPT 64483 · Epidural · Maryland Medicaid (FFS)
TFESI — Lumbar/Sacral (1st level) at Maryland Medicaid (FFS).
How Maryland Medicaid (FFS) approaches CPT 64483 (TFESI — Lumbar/Sacral (1st 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 Maryland Medicaid (FFS) policy of record for CPT 64483. 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)
See the full Maryland Medicaid (FFS) criteria.
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