CPT 62331 · Decompression · UnitedHealthcare Community Plan (Medicaid)
MILD — Percutaneous Lumbar Decompression (with image guidance) at UnitedHealthcare Community Plan (Medicaid).
How UnitedHealthcare Community Plan (Medicaid) 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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Clearway-MPG-MILDCriteria summary
High-level themes from the UnitedHealthcare Community Plan (Medicaid) 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: Clearway Master Payer Guidelines v2025 — MILD
See the full UnitedHealthcare Community Plan (Medicaid) criteria.
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