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Independence Blue CrossCommercial · Billing Codes · Medical Policy · PA · Neurosurgery, Orthopedics, Pain Management +1 moreHigh impact

11.15.22e, Percutaneous Image-Guided Lumbar Decompression (PILD) for Spinal Stenosis

Act
by Jan 1, 2026
Effective date
Jan 1, 2026
Identified
Jun 19, 2026

Summary

Independence Blue Cross reissued Policy 11.15.22e to update CPT coding for Percutaneous Image-Guided Lumbar Decompression (PILD). The procedure code 0275T was terminated and replaced with CPT codes 62330 and 62331 effective January 1, 2026. PILD remains classified as experimental/investigational and is NOT covered under IBC commercial plans. Billing teams must use only the new CPT codes (62330/62331) for claim submission; other codes like 63020, 63030, or 63035 do not appropriately represent PILD and should not be used.

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What to do

by Jan 1, 2026 · 8 steps
01Billing team must immediately update billing system and encoder software to STOP using terminated CPT code 0275T for PILD procedures.
02Replace all references with new CPT codes 62330 (primary procedure, one interspace) and 62331 (additional interspace).
03Update encounter templates and charge capture systems to reflect new codes.
04Educate providers that PILD procedures should ONLY be billed with CPT 62330/62331—do NOT use CPT 63020, 63030, 63035, or any other alternative codes.
05Configure system to flag any PILD claims as experimental/investigational for automatic denial under IBC commercial plans.
06Note: PILD remains non-covered; claims will be denied regardless of coding.
07Confirm that front-desk staff and billing personnel understand these codes represent a non-covered service to set appropriate patient expectations.
08Document all system changes for compliance and audit purposes.

Codes mentioned

6233062331G0276

Original notice

11.15.22e, Percutaneous Image-Guided Lumbar Decompression (PILD) for Spinal Stenosis
medpolicy.ibx.com · Always check the source before changing claims.
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