CPT 64635 · RFA · Humana Commercial
RFA — Lumbar/Sacral Facet (1st level) at Humana Commercial.
How Humana Commercial approaches CPT 64635 (RFA — Lumbar/Sacral Facet (1st level)) for prior-authorization review: at last review on 2026-04-26, the policy covers this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-04-26
Policy number
HUM-0387-024Criteria summary
High-level themes from the Humana Commercial policy of record for CPT 64635. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 12 weeks of conservative care typically required.
- Prior diagnostic facet injection or MBB (same type both times) documentation required (typically with ≥80% relief).
See the full Humana Commercial 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 →