Blue Cross and Blue Shield of Texas policy
Intraosseous Radiofrequency Nerve Ablation of the Basivertebral Nerve for the Treatment of Low Back Pain
Intraosseous Radiofrequency Nerve Ablation of the Basivertebral Nerve for the Treatment of Low Back Pain is a public Blue Cross and Blue Shield of Texas policy (policy SUR702.020). It lists 3 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Policy number
- SUR702.020
- Line of business
- Commercial, Medicaid
- Source
- medicalpolicy.hcsc.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Open official prior authorization lists to check the member’s product.
| Code | Other Blue Cross and Blue Shield of Texas policies |
|---|---|
| 64628 | Policies naming 64628 |
| 64629 | Policies naming 64629 |
| 64999 | Policies naming 64999 |
All Blue Cross and Blue Shield of Texas policies · Blue Cross and Blue Shield of Texas prior authorization CPT list