CPT 64629 · BVN Ablation · Ambetter
Intracept — BVN Ablation (add'l) at Ambetter.
How Ambetter approaches CPT 64629 (Intracept — BVN Ablation (add'l)) for prior-authorization review: at last review on 2024-09-01, the policy does not cover this code with prior authorization required.
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Coverage
Not covered
Prior auth
Prior auth required
InvestigationalInvestigational / experimental
Last reviewed
2024-09-01
Policy number
CP.MP.170Criteria summary
High-level themes from the Ambetter policy of record for CPT 64629. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
Source: Ambetter Centene CP.MP.170
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