Rubrica

CPT 62380 · Intradiscal · Kaiser Permanente of the Mid-Atlantic States — Maryland Medicaid

Endoscopic Lumbar Decompression at Kaiser Permanente of the Mid-Atlantic States — Maryland Medicaid.

How Kaiser Permanente of the Mid-Atlantic States — Maryland 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 Kaiser Permanente of the Mid-Atlantic States — Maryland 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: Maryland Medicaid Professional Services Provider Manual & Fee Schedule (FFS)

See the full Kaiser Permanente of the Mid-Atlantic States — Maryland Medicaid criteria.

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