CPT 64490 · Facet/MBB · Progressive Auto / PIP
Facet/MBB — Cervical/Thoracic (1st level) at Progressive Auto / PIP.
How Progressive Auto / PIP approaches CPT 64490 (Facet/MBB — Cervical/Thoracic (1st level)) for prior-authorization review: at last review on 2026-05-09, the policy covers this code without prior authorization.
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Criteria summary
High-level themes from the Progressive Auto / PIP policy of record for CPT 64490. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
Source: Progressive Auto / PIP Personal Injury Protection Schedule
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