CPT 64490 · Facet/MBB · Alabama Medicaid (FFS)
Facet/MBB — Cervical/Thoracic (1st level) at Alabama Medicaid (FFS).
How Alabama Medicaid (FFS) approaches CPT 64490 (Facet/MBB — Cervical/Thoracic (1st level)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code without prior authorization.
Free with practitioner sign-in — magic-link email auth, no credit card.
L38765Criteria summary
High-level themes from the Alabama Medicaid (FFS) policy of record for CPT 64490. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
Source: Alabama Medicaid Provider Manual, Chapter 28 (Physician), January 2026
See the full Alabama Medicaid (FFS) criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →