CPT 64484 · Epidural · Oscar Health
TFESI — Lumbar/Sacral (add'l level) at Oscar Health.
How Oscar Health approaches CPT 64484 (TFESI — Lumbar/Sacral (add'l level)) for prior-authorization review: at last review on 2026-05-10, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-10
Policy number
CG048Criteria summary
High-level themes from the Oscar Health policy of record for CPT 64484. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 6 weeks of conservative care typically required.
- Imaging concordance documentation required.
See the full Oscar Health criteria.
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