Rubrica

CPT 62380 · Intradiscal · Horizon NJ Health — NJ Medicaid

Endoscopic Lumbar Decompression at Horizon NJ Health — NJ Medicaid.

How Horizon NJ Health — NJ Medicaid approaches CPT 62380 (Endoscopic Lumbar Decompression) for prior-authorization review: at last review on 2026-05-06, the policy covers this code without prior authorization.

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Coverage Covered
Prior auth No prior auth
Last reviewed 2026-05-06

Criteria summary

High-level themes from the Horizon NJ Health — NJ Medicaid policy of record for CPT 62380. Verbatim policy text and per-criterion analysis are available after sign-in.

Coverage criteria details available after sign-in.

Source: NJ Medicaid FFS posture (no Horizon BCBS NJ medical policy and no Novitas JL LCD on point); Horizon NJ Health follows FFS under N.J.A.C. 10:54-1.4 / 10:74-8.4 / 10:74-8.5

See the full Horizon NJ Health — NJ Medicaid criteria.

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