CPT 62287 · Intradiscal · Independence Blue Cross
Percutaneous Disc Decompression — Fluoroscopic at Independence Blue Cross.
How Independence Blue Cross approaches CPT 62287 (Percutaneous Disc Decompression — Fluoroscopic) for prior-authorization review: at last review on 2026-04-26, the policy does not cover this code with prior authorization required.
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Clearway-MPG-TransectionLumbarFluroCriteria summary
High-level themes from the Independence Blue Cross policy of record for CPT 62287. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 26 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: Clearway Master Payer Guidelines v2025 — Transection Lumbar Fluro
See the full Independence Blue Cross criteria.
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