CPT 64492 · Facet/MBB · Independence Blue Cross
Facet/MBB — Cervical/Thoracic (3rd+ level) at Independence Blue Cross.
How Independence Blue Cross approaches CPT 64492 (Facet/MBB — Cervical/Thoracic (3rd+ level)) for prior-authorization review: at last review on 2025-06-11, the policy does not cover this code with prior authorization required.
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11.15.23lCriteria summary
High-level themes from the Independence Blue Cross policy of record for CPT 64492. 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.
Source: Independence Blue Cross Commercial 11.15.23l + Carelon Interventional Pain 2026
See the full Independence Blue Cross criteria.
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