CPT 62323 · Epidural · Premera Blue Cross
Interlaminar ESI — Lumbar at Premera Blue Cross.
How Premera Blue Cross approaches CPT 62323 (Interlaminar ESI — Lumbar) for prior-authorization review: at last review on 2022-10-10, the policy covers this code with prior authorization required.
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2.01.537Verification pending. This record is awaiting confirmation against the latest policy document — criteria summary may not reflect the current revision.
Criteria summary
High-level themes from the Premera Blue Cross 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.
See the full Premera Blue Cross criteria.
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