CPT 64628 · BVN Ablation · Florida Blue
Intracept — Basivertebral Nerve Ablation (1st level) at Florida Blue.
How Florida Blue approaches CPT 64628 (Intracept — Basivertebral Nerve Ablation (1st level)) for prior-authorization review: at last review on 2025-01-01, the policy does not cover this code with prior authorization required.
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02-61000-20Criteria summary
High-level themes from the Florida Blue policy of record for CPT 64628. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
Source: Florida Blue MCG 02-61000-20 Percutaneous Intradiscal Procedures (Basivertebral Nerve Ablation)
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