CPT 64517 · Sympathetic · UnitedHealthcare Community Plan of New Jersey
Superior Hypogastric Plexus Block at UnitedHealthcare Community Plan of New Jersey.
How UnitedHealthcare Community Plan of New Jersey approaches CPT 64517 (Superior Hypogastric Plexus Block) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.
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UHC CP-NJ Provider ManualCriteria summary
High-level themes from the UnitedHealthcare Community Plan of New Jersey policy of record for CPT 64517. 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.
Source: UnitedHealthcare Community Plan of New Jersey — Care Provider Manual (2025/2026)
See the full UnitedHealthcare Community Plan of New Jersey criteria.
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