CPT 64492 · Facet/MBB · Kaiser Permanente of the Mid-Atlantic States — Maryland Medicaid
Facet/MBB — Cervical/Thoracic (3rd+ level) at Kaiser Permanente of the Mid-Atlantic States — Maryland Medicaid.
How Kaiser Permanente of the Mid-Atlantic States — Maryland Medicaid approaches CPT 64492 (Facet/MBB — Cervical/Thoracic (3rd+ level)) for prior-authorization review: at last review on 2026-05-06, the policy does not cover this code without prior authorization.
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L34892Criteria summary
High-level themes from the Kaiser Permanente of the Mid-Atlantic States — Maryland Medicaid policy of record for CPT 64492. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
Source: Maryland Medicaid Professional Services Provider Manual & Fee Schedule (FFS)
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