Payor
CareFirst BCBS Medicare Advantage
Rubrica tracks 2 sourced coverage rules across 2 CPT codes for CareFirst BCBS Medicare Advantage — covering interventional spine, pain management, ortho spine, and orthopedics. Plan type(s): Medicare Advantage. 2-state regional policy (sample: dc, md).
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Every Rubrica record cites a specific CareFirst BCBS Medicare Advantage policy document with last-reviewed date and (where available) verbatim source text. Aggregate coverage breakdown by procedure category is shown below; full payor-specific criteria require sign-in.
Coverage by category
CareFirst BCBS Medicare Advantage's coverage stance across procedure categories tracked in the Rubrica catalog.
| Category | Rules | Covered | Prior auth | Investigational |
|---|---|---|---|---|
| Decompression | 2 | 2 | 2 | 0 |
Top tracked procedures
First 15 CPT codes in the CareFirst BCBS Medicare Advantage catalog. Sign in for verbatim criteria, source links, and the rest of the catalog.
| CPT | Procedure | Coverage |
|---|---|---|
62330 | MILD — Percutaneous Lumbar Decompression (no image guidance) | Covered |
62331 | MILD — Percutaneous Lumbar Decompression (with image guidance) | Covered |
See every policy for CareFirst BCBS Medicare Advantage.
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