CPT 63047 · Spine Surgery · BCBS Illinois
Laminectomy + Facetectomy + Foraminotomy — Lumbar at BCBS Illinois.
How BCBS Illinois approaches CPT 63047 (Laminectomy + Facetectomy + Foraminotomy — Lumbar) for prior-authorization review: at last review on 2025-09-01, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2025-09-01
Policy number
BCBSIL-MP-63047Criteria summary
High-level themes from the BCBS Illinois policy of record for CPT 63047. 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: Blue Cross Blue Shield of Illinois medical policy — Spine Surgery
See the full BCBS Illinois criteria.
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