Rubrica

CPT 62380 · Decompression · Premera Blue Cross

Endoscopic Lumbar Decompression at Premera Blue Cross.

How Premera Blue Cross approaches CPT 62380 (Endoscopic Lumbar Decompression) for prior-authorization review: at last review on 2024-12-01, the policy does not cover this code with prior authorization required.

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Coverage Not covered
Prior auth Prior auth required
InvestigationalInvestigational / experimental
Last reviewed 2024-12-01

Verification pending. This record is awaiting confirmation against the latest policy document — criteria summary may not reflect the current revision.

Criteria summary

High-level themes from the Premera Blue Cross 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: Premera Blue Cross Medical Policy — Minimally Invasive Spine Surgery (CPT 62380 investigational pending RVU assignment)

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