Rubrica

CPT 62380 · Decompression · Medicare (National NCDs)

Endoscopic Lumbar Decompression at Medicare (National NCDs).

How Medicare (National NCDs) approaches CPT 62380 (Endoscopic Lumbar Decompression) for prior-authorization review: at last review on 2026-05-09, the policy covers this code with prior authorization required.

Free with practitioner sign-in — magic-link email auth, no credit card.

Coverage Covered
Prior auth Prior auth required
Last reviewed 2026-05-09
Policy number150.13

Criteria summary

High-level themes from the Medicare (National NCDs) 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: CMS NCD 150.13 — Percutaneous Image-guided Lumbar Decompression for Lumbar Spinal Stenosis; CAG-00433R Decision Memo (Dec 7, 2016)

See the full Medicare (National NCDs) criteria.

Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.

Sign in — free for practitioners →