CPT 62380 · Intradiscal · Johns Hopkins US Family Health Plan
Endoscopic Lumbar Decompression at Johns Hopkins US Family Health Plan.
How Johns Hopkins US Family Health Plan 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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Clearway-MPG-TransectionLumbarEndoCriteria summary
High-level themes from the Johns Hopkins US Family Health Plan 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 Johns Hopkins US Family Health Plan criteria.
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