PA Lookup
Coverage

CPT 0628T

Pain management

Unverified

Humana · Medicare · ALL

Yes — Prior Auth Required

Documents Needed

  • Clinical notes

Clinical Criteria

Percutaneous lumbar intravertebral disc injection Please submit authorizations to www.Next.Coherehealth.com . If not registered please use https://next.coherehealth.com /organization_onboarding Prior

Source

Found in: Humana 2026 Medicare Prior Authorization List

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