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 and LCA are effective August 11 and updates were made to the documentation requirements for services requiring prior authorization.