CPT 64520 · Sympathetic · Geisinger Health Plan — PA HealthChoices
Lumbar / Thoracic Sympathetic Block (also Ganglion Impar per practice) at Geisinger Health Plan — PA HealthChoices.
How Geisinger Health Plan — PA HealthChoices 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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Geisinger MP 292Criteria summary
High-level themes from the Geisinger Health Plan — PA HealthChoices 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.
Source: Geisinger Health Plan MP 292 — Sympathetic Nerve Block (Cohere-delegated)
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