CPT 64493 · Facet/MBB · Medicare (National NCDs)
Facet/MBB — Lumbar/Sacral (1st level) at Medicare (National NCDs).
How Medicare (National NCDs) approaches CPT 64493 (Facet/MBB — Lumbar/Sacral (1st level)) for prior-authorization review: at last review on 2025-10-01, the policy covers this code without prior authorization.
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Coverage
Covered
Prior auth
No prior auth
Last reviewed
2025-10-01
Criteria summary
High-level themes from the Medicare (National NCDs) policy of record for CPT 64493. 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.
See the full Medicare (National NCDs) criteria.
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