CPT 64520 · Sympathetic · Fidelis Care NJ (Centene) — NJ Medicaid
Lumbar / Thoracic Sympathetic Block (also Ganglion Impar per practice) at Fidelis Care NJ (Centene) — NJ Medicaid.
How Fidelis Care NJ (Centene) — NJ Medicaid 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 without prior authorization.
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Evolent IPM 2025 + Fidelis NJ Medicaid Provider ManualCriteria summary
High-level themes from the Fidelis Care NJ (Centene) — NJ Medicaid policy of record for CPT 64520. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 4 weeks of conservative care typically required.
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