Rubrica

CPT 62380 · Intradiscal · Wellpoint of New Jersey — NJ Medicaid

Endoscopic Lumbar Decompression at Wellpoint of New Jersey — NJ Medicaid.

How Wellpoint of New Jersey — NJ Medicaid approaches CPT 62380 (Endoscopic Lumbar Decompression) for prior-authorization review: at last review on 2026-05-06, 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 2026-05-06
Policy numberSURG.00071

Criteria summary

High-level themes from the Wellpoint of New Jersey — NJ Medicaid 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: Anthem Medical Policy SURG.00071 — Percutaneous and Endoscopic Spinal Surgery

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