CommercialCoverageMedium impact
Lysis of Epidural Adhesions
Blue Cross & Blue Shield of Mississippi·MS · Pain Management, Anesthesiology, Neurosurgery +1 more·Medical Policy
We identified it
Jun 20, 2026
Summary
Blue Cross Blue Shield Mississippi has updated their policy on lysis of epidural adhesions, maintaining that all catheter-based techniques for breaking up epidural scar tissue (including the Racz procedure) are considered investigational and not covered. The policy affects specific CPT codes used for these pain management procedures.
Action Required
Immediately: Billing team must verify that claims for lysis of epidural adhesions procedures (CPT 62263, 62264, 64999, 77002) are not submitted to BCBS Mississippi as they are considered investigational and will be denied. Update billing system to flag these codes for BCBS MS claims. Notify pain management providers that these procedures are not covered by this payer.