64495 Insurance Policy Changes

CPT 64495, in plain terms, covers Injection of medication into the facet joints of the lower spine at three different levels to reduce pain and inflammation. CPT 64495 is referenced in 3 tracked payer policy changes from Aetna and Harvard Pilgrim Health Care. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 64495 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 64495 on AAPC