CPT 62330 · MILD · Premera Blue Cross
MILD — Percutaneous Lumbar Decompression (no image guidance) at Premera Blue Cross.
How Premera Blue Cross approaches CPT 62330 (MILD — Percutaneous Lumbar Decompression (no image guidance)) for prior-authorization review: at last review on 2025-01-01, the policy does not cover this code with prior authorization required.
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7.01.126Criteria summary
High-level themes from the Premera Blue Cross 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: Premera Medical Policy 7.01.126 — Image-Guided Minimally Invasive Decompression
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