CPT 62380 · Decompression · CareFirst BCBS
Endoscopic Lumbar Decompression at CareFirst BCBS.
How CareFirst BCBS approaches CPT 62380 (Endoscopic Lumbar Decompression) for prior-authorization review: at last review on 2025-12-01, the policy does not cover this code with prior authorization required.
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Coverage
Not covered
Prior auth
Prior auth required
InvestigationalInvestigational / experimental
Last reviewed
2025-12-01
Criteria summary
High-level themes from the CareFirst BCBS policy of record for CPT 62380. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 6 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: CareFirst BCBS Medical Policy Reference Manual (provider portal)
See the full CareFirst BCBS criteria.
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