CPT 64520 · Sympathetic · Maryland Physicians Care
Lumbar / Thoracic Sympathetic Block (also Ganglion Impar per practice) at Maryland Physicians Care.
How Maryland Physicians Care 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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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-06
Criteria summary
High-level themes from the Maryland Physicians Care policy of record for CPT 64520. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 6 weeks of conservative care typically required.
- Imaging concordance documentation required.
See the full Maryland Physicians Care criteria.
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