CPT 64624 · RFA · Aetna Better Health of New Jersey
Genicular Nerve RFA at Aetna Better Health of New Jersey.
How Aetna Better Health of New Jersey approaches CPT 64624 (Genicular Nerve RFA) 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
Policy number
CPB 0016Criteria summary
High-level themes from the Aetna Better Health of New Jersey policy of record for CPT 64624. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 12 weeks of conservative care typically required.
- Imaging concordance documentation required.
- Prior Diagnostic genicular nerve blocks (CPT 64454) documentation required (typically with ≥50% relief).
See the full Aetna Better Health of New Jersey criteria.
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