CPT 64484 · Epidural · Aetna Better Health of Maryland
TFESI — Lumbar/Sacral (add'l level) at Aetna Better Health of Maryland.
How Aetna Better Health of Maryland approaches CPT 64484 (TFESI — Lumbar/Sacral (add'l level)) for prior-authorization review: at last review on 2026-04-27, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-04-27
Policy number
CPB 0722Criteria summary
High-level themes from the Aetna Better Health of Maryland policy of record for CPT 64484. Verbatim policy text and per-criterion analysis are available after sign-in.
- Conservative care expectations vary; sign in for specifics.
- Imaging concordance documentation required.
See the full Aetna Better Health of Maryland criteria.
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