CPT 64628 · Trigger Point · Florida Medicaid
Intracept — Basivertebral Nerve Ablation (1st level) at Florida Medicaid.
How Florida Medicaid approaches CPT 64628 (Intracept — Basivertebral Nerve Ablation (1st level)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code without prior authorization.
Free with practitioner sign-in — magic-link email auth, no credit card.
Criteria summary
High-level themes from the Florida Medicaid 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 Medicaid Coverage - AHCA
See the full Florida Medicaid criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →