What insurance policy changes affect CPT 62323?

There are 10 tracked policy changes affecting CPT 62323, including updates from Humana, Harvard Pilgrim Health Care, Blue Cross & Blue Shield of Mississippi. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 62323?

Payers that have issued tracked updates for CPT 62323 include: Humana, Harvard Pilgrim Health Care, Blue Cross & Blue Shield of Mississippi.

How do I get notified when CPT 62323 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 62323. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for CPT 62323?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

62323 — A doctor injected medication into the space around your spinal cord between the vertebrae to treat pain or inflammation.: Insurance Policy Changes

62323 Insurance Policy Changes

CPT 62323, in plain terms, covers A doctor injected medication into the space around your spinal cord between the vertebrae to treat pain or inflammation. CPT 62323 is referenced in 10 tracked payer policy changes from Humana, Harvard Pilgrim Health Care, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 62323 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

High impact

Reminder: Expansion of vendor program and training sessions

Harvard Pilgrim Health Care·Effective Oct 1, 2025

Effective October 1, 2025, Evolent will assume utilization management (prior authorization) for spine and interventional pain management services for Tufts Medicare Preferred members. Prior authorization requirements are changing for specific CPT codes—some codes will have authorization requirements removed, others newly require authorization, and some will continue through Evolent instead of Tufts Health Plan. Billing teams must update systems to route authorization requests to Evolent and track code-specific authorization requirements.

62323 Insurance Policy Changes

Injections for Chronic Pain Conditions - MEDICAID - FLORIDA (Revised)

Injections for Chronic Pain Conditions - MEDICAID - VIRGINIA (Revised)

Injections for Chronic Pain Conditions - MEDICAID - MICHIGAN (New)

Injections for Chronic Pain Conditions - MEDICAID - ILLINOIS (New)

Injections for Chronic Pain Conditions - MEDICAID - OKLAHOMA (New)

Reminder: Expansion of vendor program and training sessions

Epidural Steroid Injections

Implantable Infusion Pumps for Pain or Spasticity - Medicare Advantage (Revised)

Postoperative Pain Management

Epidural, Intrathecal, and Intraventricular Morphine Administration