CPT 63047 · Decompression · BCBS New Mexico
Laminectomy + Facetectomy + Foraminotomy — Lumbar at BCBS New Mexico.
How BCBS New Mexico approaches CPT 63047 (Laminectomy + Facetectomy + Foraminotomy — Lumbar) for prior-authorization review: at last review on 2026-01-01, the policy covers this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
Carelon Spine Surgery 2025-11-15Criteria summary
High-level themes from the BCBS New Mexico policy of record for CPT 63047. 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: Carelon Clinical Appropriateness Guidelines — Spine Surgery / Lumbar Decompression
See the full BCBS New Mexico 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 →