CPT 62291 · Diagnostic
Discography — Cervical/Thoracic
Injection procedure for discography, each level; cervical or thoracic.
Free with practitioner sign-in — magic-link email auth, no credit card.
Rubrica tracks payor coverage for CPT 62291 (Discography — Cervical/Thoracic) across 76 payors — every Medicare MAC, the major commercial plans, the BCBS family, all 50-state Medicaid programs, and selected workers' comp and auto/PIP carriers. Aggregate coverage patterns are shown below; full payor-specific criteria, source citations, and last-reviewed dates are available to signed-in practitioners.
Top payors covering CPT 62291
Sample of 12 payors with coverage for this code. Sign in for the complete payor list, verbatim criteria, denial-risk score, and source citations for each.
| Payor | Coverage | Prior auth |
|---|---|---|
| Aetna | Covered | Prior auth |
| Aetna Better Health of Florida | Covered | No PA |
| Aetna Better Health of Maryland | Covered | No PA |
| Aetna Better Health of New Jersey | Covered | No PA |
| Aetna Medicare Advantage | Covered | Prior auth |
| Alabama Medicaid | Covered | Prior auth |
| Alabama Medicaid (FFS) | Covered | Prior auth |
| Allstate Auto / PIP | Covered | Prior auth |
| AmTrust Financial WC | Covered | Prior auth |
| AmeriHealth Caritas Family (ACPA / AC Northeast / Keystone First) — PA HealthChoices | Covered | Prior auth |
| Anthem BCBS | Covered | Prior auth |
| California Medicaid (Medi-Cal) | Covered | Prior auth |
Coverage themes for CPT 62291
Common patterns across the 76 payors we track. Specific criteria per payor are available after sign-in.
Most payors require ≥12 weeks of conservative care before approving 62291.
12 of 76 payors require imaging concordance documentation.
Of the 76 payors with coverage records for CPT 62291, 42 require prior authorization, 31 cover without prior authorization, and 3 flag the procedure as investigational or experimental under current criteria.
See the policy for every payor.
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