Rubrica

CPT 64520 · Sympathetic · Simply Healthcare Plans (Anthem/Elevance) — Florida Medicaid

Lumbar / Thoracic Sympathetic Block (also Ganglion Impar per practice) at Simply Healthcare Plans (Anthem/Elevance) — Florida Medicaid.

How Simply Healthcare Plans (Anthem/Elevance) — Florida 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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Coverage Covered
Prior auth No prior auth
Last reviewed 2026-05-06

Criteria summary

High-level themes from the Simply Healthcare Plans (Anthem/Elevance) — Florida 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: FL Medicaid FFS / FCSO JN — case-by-case medical-necessity standard (no LCD specific to sympathetic blocks)

See the full Simply Healthcare Plans (Anthem/Elevance) — Florida Medicaid criteria.

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