CPT 64634 · RFA · UnitedHealthcare Medicare Advantage
RFA — Cervical/Thoracic Facet (add'l level) at UnitedHealthcare Medicare Advantage.
How UnitedHealthcare 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.
Free with practitioner sign-in — magic-link email auth, no credit card.
L34892Criteria summary
High-level themes from the UnitedHealthcare 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).
Source: UnitedHealthcare Medicare Advantage Medical Policy (National)
See the full UnitedHealthcare Medicare Advantage 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 →