CPT 63047 · Spine Surgery · Texas Medicaid
Laminectomy + Facetectomy + Foraminotomy — Lumbar at Texas Medicaid.
How Texas Medicaid 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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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-02
Policy number
TXMed-Surg-2026Criteria summary
High-level themes from the Texas Medicaid 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: Texas Medicaid Provider Procedures Manual — Surgical Services
See the full Texas Medicaid criteria.
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