Blue Cross Blue Shield Minnesota policy
Percutaneous Facet Joint Denervation
Percutaneous Facet Joint Denervation is a public Blue Cross Blue Shield Minnesota policy (policy IV-95, effective Sep 28, 2026). It lists 6 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
- Policy number
- IV-95
- Effective
- Sep 28, 2026
- Line of business
- Commercial, Medicaid
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Blue Cross Blue Shield Minnesota policies |
|---|---|
| 64625 | Policies naming 64625 |
| 64633 | Policies naming 64633 |
| 64634 | Policies naming 64634 |
| 64635 | Policies naming 64635 |
| 64636 | Policies naming 64636 |
| 64999 | Policies naming 64999 |