CPT 64636 · Peripheral Nerve Block · Aetna Better Health Medicaid
RFA — Lumbar/Sacral Facet (add'l level) at Aetna Better Health Medicaid.
How Aetna Better Health Medicaid approaches CPT 64636 (RFA — Lumbar/Sacral Facet (add'l 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 Aetna Better Health Medicaid policy of record for CPT 64636. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
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