Rubrica

CPT 64520 · Sympathetic · Maryland Medicaid (FFS)

Lumbar / Thoracic Sympathetic Block (also Ganglion Impar per practice) at Maryland Medicaid (FFS).

How Maryland Medicaid (FFS) 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.

Free with practitioner sign-in — magic-link email auth, no credit card.

Coverage Covered
Prior auth No prior auth
Last reviewed 2026-05-06

Criteria summary

High-level themes from the Maryland Medicaid (FFS) policy of record for CPT 64520. Verbatim policy text and per-criterion analysis are available after sign-in.

Coverage criteria details available after sign-in.

Source: Maryland Medicaid Professional Services Provider Manual & Fee Schedule (FFS)

See the full Maryland Medicaid (FFS) criteria.

Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.

Sign in — free for practitioners →