CPT 62323 · Epidural · Ambetter
Interlaminar ESI — Lumbar at Ambetter.
How Ambetter approaches CPT 62323 (Interlaminar ESI — Lumbar) for prior-authorization review: at last review on 2025-08-01, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2025-08-01
Policy number
CP.MP.164Criteria summary
High-level themes from the Ambetter policy of record for CPT 62323. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
See the full Ambetter criteria.
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