CPT 62330 · Decompression · Sunshine Health (Centene) — Florida Medicaid
MILD — Percutaneous Lumbar Decompression (no image guidance) at Sunshine Health (Centene) — Florida Medicaid.
How Sunshine Health (Centene) — Florida Medicaid 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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CP.MP.114Criteria summary
High-level themes from the Sunshine Health (Centene) — Florida Medicaid policy of record for CPT 62330. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 26 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: Centene CP.MP.114 (Disc Decompression Procedures) — adopted by Sunshine Health FL Medicaid
See the full Sunshine Health (Centene) — Florida Medicaid criteria.
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