Rubrica

CPT 64492 · Facet/MBB · Medicare (FCSO MAC)

Facet/MBB — Cervical/Thoracic (3rd+ level) at Medicare (FCSO MAC).

How Medicare (FCSO MAC) approaches CPT 64492 (Facet/MBB — Cervical/Thoracic (3rd+ level)) for prior-authorization review: at last review on 2026-05-09, the policy does not cover this code without prior authorization.

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Coverage Not covered
Prior auth No prior auth
Last reviewed 2026-05-09
Policy numberL33930

Criteria summary

High-level themes from the Medicare (FCSO MAC) 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: LCD L33930 (FCSO)

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