CPT 62380 · Intradiscal · BCBS Illinois
Endoscopic Lumbar Decompression at BCBS Illinois.
How BCBS Illinois approaches CPT 62380 (Endoscopic Lumbar Decompression) 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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Coverage
Not covered
Prior auth
Prior auth required
Last reviewed
2026-04-26
Policy number
Clearway-MPG-TransectionLumbarEndoCriteria summary
High-level themes from the BCBS Illinois policy of record for CPT 62380. 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: Clearway Master Payer Guidelines v2025 — Transection Lumbar Endo
See the full BCBS Illinois criteria.
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