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Last Modified: 8/8/2024 Location: FL, PR, USVI Business: Part A, Part B

Prior authorization: Facet joints and cervical fusion

View the most recent updates to our article addressing prior authorization general documentation requirements for facet joint interventions and cervical fusion with disc removal. For facet joint interventions, CMS is removing CPT codes 64492 and 64495 from the list of codes requiring prior authorization, effective August 16. The associated LCD and LCA has been updated to reflect these updates effective August 11. For cervical fusion, a new LCD external link and LCA external link are effective August 11 and updates were made to the documentation requirements for services requiring prior authorization.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.