CPT 64520 · Sympathetic · Ohio Medicaid
Lumbar / Thoracic Sympathetic Block (also Ganglion Impar per practice) at Ohio Medicaid.
How Ohio 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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Criteria summary
High-level themes from the Ohio Medicaid 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: Ohio Medicaid Interventional Pain Management Coverage Guidelines
See the full Ohio Medicaid criteria.
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