Rubrica

CPT 62330 · MILD · Excellus BCBS

MILD — Percutaneous Lumbar Decompression (no image guidance) at Excellus BCBS.

How Excellus BCBS approaches CPT 62330 (MILD — Percutaneous Lumbar Decompression (no image guidance)) for prior-authorization review: at last review on 2026-04-27, the policy does not cover this code with prior authorization required.

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Coverage Not covered
Prior auth Prior auth required
InvestigationalInvestigational / experimental
Last reviewed 2026-04-27
Policy number7.01.112

Criteria summary

High-level themes from the Excellus BCBS 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: Excellus BCBS Medical Policy 7.01.112 — Intradiscal Procedures (MILD reviewed in supportive literature; insufficient evidence). Also referenced in 7.01.113 Lumbar Decompression.

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