CPT 64517 · Sympathetic · Wellpoint of New Jersey — NJ Medicaid
Superior Hypogastric Plexus Block at Wellpoint of New Jersey — NJ Medicaid.
How Wellpoint of New Jersey — NJ Medicaid approaches CPT 64517 (Superior Hypogastric Plexus Block) for prior-authorization review: at last review on 2026-05-06, the policy covers this code without prior authorization.
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Criteria summary
High-level themes from the Wellpoint of New Jersey — NJ Medicaid policy of record for CPT 64517. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
See the full Wellpoint of New Jersey — NJ Medicaid criteria.
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