CPT 64625 · SI Joint · Humana Healthy Horizons in Florida
SI Joint RFA (lateral branches) at Humana Healthy Horizons in Florida.
How Humana Healthy Horizons in Florida approaches CPT 64625 (SI Joint RFA (lateral branches)) for prior-authorization review: at last review on 2026-05-06, the policy does not cover this code with prior authorization required.
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HUM-0387-024Criteria summary
High-level themes from the Humana Healthy Horizons in Florida policy of record for CPT 64625. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
Source: Humana MCP HUM-0387-024 — Neuroablative Techniques for Chronic Pain (excludes SIJ RFA)
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