CPT 62323 · Epidural · Medicare (Novitas MAC)
Interlaminar ESI — Lumbar at Medicare (Novitas MAC).
How Medicare (Novitas MAC) approaches CPT 62323 (Interlaminar ESI — Lumbar) for prior-authorization review: at last review on 2026-05-09, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-09
Policy number
L36920Criteria summary
High-level themes from the Medicare (Novitas MAC) policy of record for CPT 62323. 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: Novitas LCD L36920 — Epidural Steroid Injections for Pain Management
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