Facet/MBB — Cervical/Thoracic (1st level) at UCare.
How UCare approaches CPT 64490 (Facet/MBB — Cervical/Thoracic (1st level)) for prior-authorization review: at last review on 2026-05-03, the policy does not cover this code without prior authorization.
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Coverage
Not covered
Prior auth
No prior auth
Last reviewed
2026-05-03
Criteria summary
High-level themes from the UCare 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: UCare Minnesota (Medicaid/MinnesotaCare) Clinical Coverage Policy
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