CPT 62330 · Decompression · Amerigroup
MILD — Percutaneous Lumbar Decompression (no image guidance) at Amerigroup.
How Amerigroup approaches CPT 62330 (MILD — Percutaneous Lumbar Decompression (no image guidance)) for prior-authorization review: at last review on 2026-04-26, the policy does not cover this code with prior authorization required.
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Coverage
Not covered
Prior auth
Prior auth required
Last reviewed
2026-04-26
Policy number
Clearway-MPG-MILDCriteria summary
High-level themes from the Amerigroup policy of record for CPT 62330. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 12 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: Clearway Master Payer Guidelines v2025 — MILD
See the full Amerigroup criteria.
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