CPT 64484 · Epidural · Humana Commercial
TFESI — Lumbar/Sacral (add'l level) at Humana Commercial.
How Humana Commercial approaches CPT 64484 (TFESI — Lumbar/Sacral (add'l level)) for prior-authorization review: at last review on 2026-04-26, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-04-26
Policy number
HUM-2137Criteria summary
High-level themes from the Humana Commercial policy of record for CPT 64484. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
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