CPT 62287 · Intradiscal · Premera Blue Cross

Percutaneous Disc Decompression — Fluoroscopic at Premera Blue Cross.

How Premera Blue Cross approaches CPT 62287 (Percutaneous Disc Decompression — Fluoroscopic) for prior-authorization review: at last review on 2024-12-01, the policy does not cover this code with prior authorization required.

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Coverage Not covered

Prior auth Prior auth required

InvestigationalInvestigational / experimental

Last reviewed 2024-12-01

Policy number7.01.18

Verification pending. This record is awaiting confirmation against the latest policy document — criteria summary may not reflect the current revision.

Criteria summary

High-level themes from the Premera Blue Cross policy of record for CPT 62287. Verbatim policy text and per-criterion analysis are available after sign-in.

Coverage criteria details available after sign-in.

Source: Premera Blue Cross / LifeWise Medical Policy 7.01.18 — Automated Percutaneous and Percutaneous Endoscopic Discectomy

See the full Premera Blue Cross criteria.

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Percutaneous Disc Decompression — Fluoroscopic at Premera Blue Cross.

Criteria summary

See the full Premera Blue Cross criteria.

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