Blue Cross Blue Shield Oklahoma 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 Blue Shield Oklahoma 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 Blue Shield Oklahoma policies |
|---|---|
| 64628 | Policies naming 64628 |
| 64629 | Policies naming 64629 |
| 64999 | Policies naming 64999 |
All Blue Cross Blue Shield Oklahoma policies · Blue Cross Blue Shield Oklahoma prior authorization CPT list