What insurance policy changes affect CPT 62331?

There are 19 tracked policy changes affecting CPT 62331, including updates from CareSource, Anthem BCBS, Blue Cross Blue Shield of Nebraska. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 62331?

Payers that have issued tracked updates for CPT 62331 include: CareSource, Anthem BCBS, Blue Cross Blue Shield of Nebraska, Medical Mutual of Ohio, Blue Cross NC, Blue Cross & Blue Shield of Mississippi, BlueCross BlueShield of South Carolina.

How do I get notified when CPT 62331 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 62331. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for CPT 62331?

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.

62331 — A procedure to relieve pressure on the spinal cord by removing ligaments in the back of the spine.: Insurance Policy Changes

62331 Insurance Policy Changes

CPT 62331, in plain terms, covers A procedure to relieve pressure on the spinal cord by removing ligaments in the back of the spine. CPT 62331 is referenced in 19 tracked payer policy changes from CareSource, Anthem BCBS, and 5 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 62331 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Medium impact

Automated Percutaneous and Percutaneous Endoscopic Discectomy

Blue Cross & Blue Shield of Mississippi·Effective Jan 1, 2026

Blue Cross Blue Shield maintains that automated percutaneous discectomy and percutaneous endoscopic discectomy are investigational procedures for treating disc herniation. Two new CPT codes (62330 and 62331) for percutaneous ligamentum flavum decompression are now considered investigational, and existing CPT codes 62287 and 0274T have revised descriptions effective January 1, 2026.

62331 Insurance Policy Changes

[Georgia] Prior Authorization Requirement Update

[Ohio] Precertification/prior authorization requirement changes

[California] Precertification/prior authorization requirement changes

[Virginia] Prior authorization requirement changes

[Virginia] Precertification/prior authorization requirement changes

[California] Prior authorization requirement changes

[California] Prior authorization requirement changes

[New York] Precertification/prior authorization requirement changes

[Ohio] Precertification/prior authorization requirement changes

[Georgia] Precertification/prior authorization requirement changes

[Virginia] VA precertification/prior authorization list change notification

[New York] Precertification/prior authorization list change notification

[Georgia] Precertification/prior authorization list change notification

MPC February 2026

Mutual News May 2026 Newsletter

Medical Policy Update December 31, 2025

MPC February 2026

Automated Percutaneous and Percutaneous Endoscopic Discectomy

2026 January Medical Policy Updates