Rubrica

CPT 64483 · Epidural · Wyoming Medicaid

TFESI — Lumbar/Sacral (1st level) at Wyoming Medicaid.

How Wyoming Medicaid approaches CPT 64483 (TFESI — Lumbar/Sacral (1st level)) for prior-authorization review: at last review on 2026-05-03, the policy does not cover this code without prior authorization.

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Coverage Not covered
Prior auth No prior auth
Last reviewed 2026-05-03

Criteria summary

High-level themes from the Wyoming Medicaid policy of record for CPT 64483. Verbatim policy text and per-criterion analysis are available after sign-in.

Coverage criteria details available after sign-in.

Source: Wyoming Department of Health Medicaid Provider Manual

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