CPT 64492 · Facet/MBB · Johns Hopkins HealthCare (Employer Health)
Facet/MBB — Cervical/Thoracic (3rd+ level) at Johns Hopkins HealthCare (Employer Health).
How Johns Hopkins HealthCare (Employer Health) approaches CPT 64492 (Facet/MBB — Cervical/Thoracic (3rd+ level)) for prior-authorization review: at last review on 2025-01-01, the policy covers this code with prior authorization required.
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eviCore CMM-201Criteria summary
High-level themes from the Johns Hopkins HealthCare (Employer Health) policy of record for CPT 64492. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 4 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: JHHC eviCore CMM-201
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