CPT 63030 · Spine Surgery · Cigna
Laminotomy (Hemilaminectomy) — Lumbar at Cigna.
How Cigna approaches CPT 63030 (Laminotomy (Hemilaminectomy) — Lumbar) for prior-authorization review: at last review on 2025-04-01, the policy covers this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2025-04-01
Policy number
CMM-325Criteria summary
High-level themes from the Cigna policy of record for CPT 63030. 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.
Source: Cigna Medical Coverage Policy — Lumbar Spine Surgery (CMM-325)
See the full Cigna 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 →