CPT 64628 · BVN Ablation · Johns Hopkins HealthCare (Employer Health)
Intracept — Basivertebral Nerve Ablation (1st level) at Johns Hopkins HealthCare (Employer Health).
How Johns Hopkins HealthCare (Employer Health) approaches CPT 64628 (Intracept — Basivertebral Nerve Ablation (1st level)) for prior-authorization review: at last review on 2025-12-18, the policy does not cover this code with prior authorization required.
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eviCore CMM-208Criteria summary
High-level themes from the Johns Hopkins HealthCare (Employer Health) policy of record for CPT 64628. Verbatim policy text and per-criterion analysis are available after sign-in.
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