62380 prior authorization | Blue Cross and Blue Shield of Montana

62380, Endoscopic Decompression Of Spinal Cord Nerve Root(S) Including Laminotomy Partial Facetectomy Foraminotomy Discectomy And/Or Excision Of Herniated Intervertebral Disc 1 Interspace Lumbar, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 62380
Description: Endoscopic Decompression Of Spinal Cord Nerve Root(S) Including Laminotomy Partial Facetectomy Foraminotomy Discectomy And/Or Excision Of Herniated Intervertebral Disc 1 Interspace Lumbar
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 51 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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