CPT 64494 · Facet/MBB · Alabama Medicaid (FFS)
Facet/MBB — Lumbar/Sacral (2nd level) at Alabama Medicaid (FFS).
How Alabama Medicaid (FFS) approaches CPT 64494 (Facet/MBB — Lumbar/Sacral (2nd level)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code without prior authorization.
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L38765Criteria summary
High-level themes from the Alabama Medicaid (FFS) policy of record for CPT 64494. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
Source: Alabama Medicaid Provider Manual, Chapter 28 (Physician), January 2026
See the full Alabama Medicaid (FFS) criteria.
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