CPT 62331 · MILD · CareFirst BCBS
MILD — Percutaneous Lumbar Decompression (with image guidance) at CareFirst BCBS.
How CareFirst BCBS approaches CPT 62331 (MILD — Percutaneous Lumbar Decompression (with image guidance)) for prior-authorization review: at last review on 2026-04-26, the policy does not cover this code with prior authorization required.
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CareFirst-eviCore-MSK-Spine (MILD)Criteria summary
High-level themes from the CareFirst BCBS policy of record for CPT 62331. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 12 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: eviCore Musculoskeletal Spine Surgery — CareFirst BCBS PA List (eff 1/1/2026)
See the full CareFirst BCBS criteria.
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