CPT 64721 · Hand / Upper Extremity · Humana
Open Carpal Tunnel Release at Humana.
How Humana approaches CPT 64721 (Open Carpal Tunnel Release) for prior-authorization review: at last review on 2025-10-01, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2025-10-01
Policy number
HUM-ORTHO-64721Criteria summary
High-level themes from the Humana policy of record for CPT 64721. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 6 weeks of conservative care typically required.
- Prior diagnostic procedure documentation required.
Source: Humana Medical Coverage Policy — Hand / Upper Extremity
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