CPT 64624 · RFA · UnitedHealthcare Community Plan of New Jersey
Genicular Nerve RFA at UnitedHealthcare Community Plan of New Jersey.
How UnitedHealthcare Community Plan 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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UHC CP-NJ Provider ManualCriteria summary
High-level themes from the UnitedHealthcare Community Plan 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 block(s) (CPT 64454) documentation required (typically with ≥50% relief).
Source: UnitedHealthcare Community Plan of New Jersey — Care Provider Manual (2025/2026)
See the full UnitedHealthcare Community Plan of New Jersey criteria.
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