CPT 64493 · Facet/MBB · CareFirst BCBS Community Health Plan Maryland (CHPMD)
Facet/MBB — Lumbar/Sacral (1st level) at CareFirst BCBS Community Health Plan Maryland (CHPMD).
How CareFirst BCBS Community Health Plan Maryland (CHPMD) approaches CPT 64493 (Facet/MBB — Lumbar/Sacral (1st level)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code without prior authorization.
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L34892Criteria summary
High-level themes from the CareFirst BCBS Community Health Plan Maryland (CHPMD) policy of record for CPT 64493. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
Source: Maryland Medicaid Professional Services Provider Manual & Fee Schedule (FFS)
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