CPT 64624 · RFA · Kaiser Permanente of the Mid-Atlantic States — Maryland Medicaid
Genicular Nerve RFA at Kaiser Permanente of the Mid-Atlantic States — Maryland Medicaid.
How Kaiser Permanente of the Mid-Atlantic States — Maryland Medicaid approaches CPT 64624 (Genicular Nerve RFA) 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 Kaiser Permanente of the Mid-Atlantic States — Maryland Medicaid policy of record for CPT 64624. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
Source: Maryland Medicaid Professional Services Provider Manual & Fee Schedule (FFS)
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