Rubrica

CPT 64629 · BVN Ablation · Florida Blue

Intracept — BVN Ablation (add'l) at Florida Blue.

How Florida Blue approaches CPT 64629 (Intracept — BVN Ablation (add'l)) for prior-authorization review: at last review on 2025-01-01, 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 2025-01-01
Policy number02-61000-20

Criteria summary

High-level themes from the Florida Blue 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: Florida Blue MCG 02-61000-20 Percutaneous Intradiscal Procedures (Basivertebral Nerve Ablation)

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