CPT 62380 · Decompression · Medicare (Noridian JE MAC)
Endoscopic Lumbar Decompression at Medicare (Noridian JE MAC).
How Medicare (Noridian JE MAC) approaches CPT 62380 (Endoscopic Lumbar Decompression) for prior-authorization review: at last review on 2026-05-03, the policy does not cover this code without prior authorization.
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Coverage
Not covered
Prior auth
No prior auth
Last reviewed
2026-05-03
Criteria summary
High-level themes from the Medicare (Noridian JE MAC) policy of record for CPT 62380. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 12 weeks of conservative care typically required.
- Imaging concordance documentation required.
See the full Medicare (Noridian JE MAC) criteria.
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