CPT 64520 · Sympathetic · California Medicaid (Medi-Cal)
Lumbar / Thoracic Sympathetic Block (also Ganglion Impar per practice) at California Medicaid (Medi-Cal).
How California Medicaid (Medi-Cal) approaches CPT 64520 (Lumbar / Thoracic Sympathetic Block (also Ganglion Impar per practice)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.
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Criteria summary
High-level themes from the California Medicaid (Medi-Cal) policy of record for CPT 64520. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
Source: California Medicaid (Medi-Cal) Coverage for Sympathetic Blocks
See the full California Medicaid (Medi-Cal) criteria.
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