CPT 63020 · Spinal Decompression · Medicare (WPS MAC)
Laminotomy (Hemilaminectomy) — Cervical at Medicare (WPS MAC).
How Medicare (WPS MAC) approaches CPT 63020 (Laminotomy (Hemilaminectomy) — Cervical) for prior-authorization review: at last review on 2026-05-02, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-02
Criteria summary
High-level themes from the Medicare (WPS MAC) policy of record for CPT 63020. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 6 weeks of conservative care typically required.
- Imaging concordance documentation required.
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