CPT 62287 · Intradiscal · Priority Partners MCO
Percutaneous Disc Decompression — Fluoroscopic at Priority Partners MCO.
How Priority Partners MCO approaches CPT 62287 (Percutaneous Disc Decompression — Fluoroscopic) for prior-authorization review: at last review on 2026-04-27, the policy covers this code with prior authorization required.
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eviCore Spine SurgeryCriteria summary
High-level themes from the Priority Partners MCO policy of record for CPT 62287. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 6 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: JHHC / eviCore Spine Surgery — Lumbar Discectomy (Priority Partners)
See the full Priority Partners MCO criteria.
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