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Image-Guided Minimally Invasive Decompression for Spinal Stenosis
Effective date
Jan 1, 2026
Identified
Jun 20, 2026
Summary
BCBSMS policy A.7.01.126 considers image-guided minimally invasive spinal decompression investigational. For FEP subscribers only, image-guided minimally invasive lumbar decompression for central stenosis without nerve root compression or disc herniation is considered medically necessary. Effective 01/01/2026, the Code Reference section adds CPT 62330 and 62331 for percutaneous decompression with partial removal of the ligamentum flavum, which the policy lists as investigational codes.
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What to do
Action · 5 steps
01Already effective 2026-01-01: Before billing image-guided minimally invasive decompression, the billing team should check whether the member is an FEP subscriber, because for FEP subscribers only central stenosis without nerve root compression or disc herniation is considered medically necessary.
02For all other members, the policy considers this procedure investigational, and investigative services are not considered medically necessary under the policy guidelines.
03The device is indicated for central stenosis only and is contraindicated for disc procedures.
04Federal Employee Program may dictate that FDA-approved devices be assessed only on the basis of medical necessity.
05Check the current applicability of this policy before acting on it.
Codes mentioned
6233062331630566305764999
Original notice
Image-Guided Minimally Invasive Decompression for Spinal Stenosis
bcbsms.com · Always check the source before changing claims.
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