CPT 64634 · RFA · Aetna Medicare Advantage
RFA — Cervical/Thoracic Facet (add'l level) at Aetna Medicare Advantage.
How Aetna Medicare Advantage approaches CPT 64634 (RFA — Cervical/Thoracic Facet (add'l level)) for prior-authorization review: at last review on 2026-05-08, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-08
Policy number
L34892Criteria summary
High-level themes from the Aetna Medicare Advantage policy of record for CPT 64634. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
- Prior Diagnostic medial branch block (MBB) or intra-articular facet injection documentation required (typically with ≥80% relief).
See the full Aetna Medicare Advantage criteria.
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