Rubrica

CPT 64635 · Trigger Point · California Medicaid (Medi-Cal)

RFA — Lumbar/Sacral Facet (1st level) at California Medicaid (Medi-Cal).

How California Medicaid (Medi-Cal) approaches CPT 64635 (RFA — Lumbar/Sacral Facet (1st level)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code without prior authorization.

Free with practitioner sign-in — magic-link email auth, no credit card.

Coverage Covered
Prior auth No prior auth
Last reviewed 2026-05-06

Criteria summary

High-level themes from the California Medicaid (Medi-Cal) policy of record for CPT 64635. 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.

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 →