CPT 63047 · Spine Surgery · BCBS Massachusetts
Laminectomy + Facetectomy + Foraminotomy — Lumbar at BCBS Massachusetts.
How BCBS Massachusetts approaches CPT 63047 (Laminectomy + Facetectomy + Foraminotomy — 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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Carelon-Spine-2026Criteria summary
High-level themes from the BCBS Massachusetts 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: Carelon Clinical Appropriateness Guidelines — Spine Surgery / per-plan medical policy
See the full BCBS Massachusetts criteria.
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