CPT 63030 · Spine Surgery · Illinois Medicaid (HFS)
Laminotomy (Hemilaminectomy) — Lumbar at Illinois Medicaid (HFS).
How Illinois Medicaid (HFS) approaches CPT 63030 (Laminotomy (Hemilaminectomy) — Lumbar) for prior-authorization review: at last review on 2026-05-02, the policy covers this code with prior authorization required.
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ILMed-Surg-2026Criteria summary
High-level themes from the Illinois Medicaid (HFS) 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: IL Healthcare and Family Services — Medicaid Handbook
See the full Illinois Medicaid (HFS) criteria.
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