CPT 62380 · Decompression · Medicare (Novitas MAC)
Endoscopic Lumbar Decompression at Medicare (Novitas MAC).
How Medicare (Novitas MAC) approaches CPT 62380 (Endoscopic Lumbar Decompression) for prior-authorization review: at last review on 2026-05-09, the policy covers this code without prior authorization.
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Criteria summary
High-level themes from the Medicare (Novitas 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.
Source: Novitas — 62380 governed by general lumbar decompression coverage (no stand-alone LCD)
See the full Medicare (Novitas MAC) criteria.
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