CPT 62330 · Decompression · AmeriHealth Caritas Family (ACPA / AC Northeast / Keystone First) — PA HealthChoices
MILD — Percutaneous Lumbar Decompression (no image guidance) at AmeriHealth Caritas Family (ACPA / AC Northeast / Keystone First) — PA HealthChoices.
How AmeriHealth Caritas Family (ACPA / AC Northeast / Keystone First) — PA HealthChoices approaches CPT 62330 (MILD — Percutaneous Lumbar Decompression (no image guidance)) for prior-authorization review: at last review on 2026-05-06, the policy does not cover this code with prior authorization required.
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eviCore CMM-608Criteria summary
High-level themes from the AmeriHealth Caritas Family (ACPA / AC Northeast / Keystone First) — PA HealthChoices policy of record for CPT 62330. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
Source: eviCore CMM-608 — MILD Percutaneous Lumbar Decompression (EIU; AC Family / Keystone First)
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