CPT 64520 · Sympathetic · Wellpoint Maryland
Lumbar / Thoracic Sympathetic Block (also Ganglion Impar per practice) at Wellpoint Maryland.
How Wellpoint Maryland approaches CPT 64520 (Lumbar / Thoracic Sympathetic Block (also Ganglion Impar per practice)) for prior-authorization review: at last review on 2026-04-27, the policy covers this code without prior authorization.
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Criteria summary
High-level themes from the Wellpoint Maryland 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.
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