CPT 64629 · Intradiscal · Ohio Medicaid
Intracept — BVN Ablation (add'l) at Ohio Medicaid.
How Ohio Medicaid 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.
Free with practitioner sign-in — magic-link email auth, no credit card.
Criteria summary
High-level themes from the Ohio Medicaid 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: Ohio Medicaid Interventional Pain Management Coverage Guidelines
See the full Ohio Medicaid 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 →