CPT 64495 · Facet/MBB · Zurich North America WC
Facet/MBB — Lumbar/Sacral (3rd+ level) at Zurich North America WC.
How Zurich North America WC approaches CPT 64495 (Facet/MBB — Lumbar/Sacral (3rd+ level)) for prior-authorization review: at last review on 2026-05-09, the policy covers this code without prior authorization.
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Criteria summary
High-level themes from the Zurich North America WC policy of record for CPT 64495. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
Source: Zurich North America WC Workers' Compensation Medical Treatment Guidelines
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