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June 9, 2025

Sacroiliac Joint Procedures at the S1-S2 & S2-S3 Levels

Per CMS requirements, we review HCPCS codes 64490-64494, 64633-64634 and 64635-64636 (Facet Joint Interventions) for Prior Authorization. HCPCS codes related to Sacroiliac procedures aren't included in the review.

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