CPT 62321 · Epidural · Medicare (Palmetto GBA MAC)
Interlaminar ESI — Cervical/Thoracic at Medicare (Palmetto GBA MAC).
How Medicare (Palmetto GBA MAC) approaches CPT 62321 (Interlaminar ESI — Cervical/Thoracic) for prior-authorization review: at last review on 2026-04-15, the policy covers this code without prior authorization.
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L38994Criteria summary
High-level themes from the Medicare (Palmetto GBA MAC) policy of record for CPT 62321. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 4 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: LCD - Epidural Steroid Injections for Pain Management (L38994)
See the full Medicare (Palmetto GBA MAC) criteria.
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