CPT 64493 · Facet/MBB · Florida Community Care — Florida Medicaid (LTC/MMA)
Facet/MBB — Lumbar/Sacral (1st level) at Florida Community Care — Florida Medicaid (LTC/MMA).
How Florida Community Care — Florida Medicaid (LTC/MMA) 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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59G-4.222 / L33930Criteria summary
High-level themes from the Florida Community Care — Florida Medicaid (LTC/MMA) policy of record for CPT 64493. Verbatim policy text and per-criterion analysis are available after sign-in.
- Conservative care expectations vary; sign in for specifics.
- Imaging concordance documentation required.
See the full Florida Community Care — Florida Medicaid (LTC/MMA) criteria.
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