CPT 62380 · Decompression · Tricare
Endoscopic Lumbar Decompression at Tricare.
How Tricare approaches CPT 62380 (Endoscopic Lumbar Decompression) for prior-authorization review: at last review on 2024-09-25, the policy covers this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
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 Tricare 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: TRICARE Policy Manual 6010.63-M (TPT5), Chapter 4 (Surgery — spine)
See the full Tricare 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 →