CPT 64633 · Trigger Point · California Medicaid (Medi-Cal)
RFA — Cervical/Thoracic Facet (1st level) at California Medicaid (Medi-Cal).
How California Medicaid (Medi-Cal) approaches CPT 64633 (RFA — Cervical/Thoracic Facet (1st level)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code without prior authorization.
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Criteria summary
High-level themes from the California Medicaid (Medi-Cal) policy of record for CPT 64633. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
Source: California Medicaid (Medi-Cal) Coverage for Trigger Point Injections
See the full California Medicaid (Medi-Cal) criteria.
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