CPT 64629 · Intradiscal · Humana Healthy Horizons in Florida
Intracept — BVN Ablation (add'l) at Humana Healthy Horizons in Florida.
How Humana Healthy Horizons in Florida approaches CPT 64629 (Intracept — BVN Ablation (add'l)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.
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HUM-0387-024Criteria summary
High-level themes from the Humana Healthy Horizons in Florida policy of record for CPT 64629. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 26 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: Humana MCP HUM-0387-024 — Neuroablative Techniques for Chronic Pain (BVN add-on)
See the full Humana Healthy Horizons in Florida criteria.
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