CPT 64628 · BVN Ablation · Oscar Health
Intracept — Basivertebral Nerve Ablation (1st level) at Oscar Health.
How Oscar Health approaches CPT 64628 (Intracept — Basivertebral Nerve Ablation (1st level)) for prior-authorization review: at last review on 2026-01-01, the policy does not cover this code with prior authorization required.
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Oscar PAL 2026Criteria summary
High-level themes from the Oscar Health 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: Oscar - delegated to eviCore CMM-208 (BVN ablation EIU)
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