CPT 62330 · Decompression · Health Partners Plans / Jefferson Health Plans — PA HealthChoices
MILD — Percutaneous Lumbar Decompression (no image guidance) at Health Partners Plans / Jefferson Health Plans — PA HealthChoices.
How Health Partners Plans / Jefferson Health Plans — 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 covers this code with prior authorization required.
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Criteria summary
High-level themes from the Health Partners Plans / Jefferson Health Plans — PA HealthChoices policy of record for CPT 62330. Verbatim policy text and per-criterion analysis are available after sign-in.
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