CPT 64530 · Sympathetic · Health Partners Plans / Jefferson Health Plans — PA HealthChoices
Celiac Plexus Block at Health Partners Plans / Jefferson Health Plans — PA HealthChoices.
How Health Partners Plans / Jefferson Health Plans — PA HealthChoices approaches CPT 64530 (Celiac Plexus Block) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.
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eviCore Sympathetic BlocksCriteria summary
High-level themes from the Health Partners Plans / Jefferson Health Plans — PA HealthChoices policy of record for CPT 64530. 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 Health Partners Plans / Jefferson Health Plans — PA HealthChoices criteria.
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