CPT 64628 · Intradiscal · UnitedHealthcare Community Plan of Florida
Intracept — Basivertebral Nerve Ablation (1st level) at UnitedHealthcare Community Plan of Florida.
How UnitedHealthcare Community Plan of Florida approaches CPT 64628 (Intracept — Basivertebral Nerve Ablation (1st level)) for prior-authorization review: at last review on 2026-05-06, the policy does not cover this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
2026T0107IICriteria summary
High-level themes from the UnitedHealthcare Community Plan of Florida 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.
See the full UnitedHealthcare Community Plan of Florida 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 →