Date Posted: 06/04/2025
The following codes are being added to our preauthorization list effective Aug. 15, 2025.
Codes Added to Preauthorization List Starting Aug. 15, 2025
CPT/HCPCS Code | CPT Code Description |
|---|---|
64628 | Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral |
64629 | Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) |