CommercialBilling CodesHigh impact
11.15.15h, Percutaneous Discectomy
Independence Blue Cross·Neurosurgery, Pain Management, Orthopedics·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
Independence Blue Cross updated policy 11.15.15h to reflect CPT code changes effective 01/01/2026: CPT 0275T was removed, CPT codes 62330 and 62331 were added as Experimental/Investigational, and CPT codes 0274T and 62287 received revised narratives. Percutaneous discectomy remains non-covered as experimental/investigational across all diagnoses and all CPT codes associated with this procedure.
Action Required
By 01/01/2026: Billing team must update billing software to remove CPT 0275T from all percutaneous discectomy claim submissions and implement claim denial rules for CPT 62330, 62331, 62380, 0274T, and 62287. Update system to deny all claims for percutaneous discectomy procedures with reason code 'Experimental/Investigational - Not Covered.' Update encounter forms and provider communication materials to reflect that percutaneous discectomy is not covered under Independence Blue Cross commercial plans regardless of CPT code or diagnosis code used. Confirm that prior authorization system reflects non-coverage status for all affected codes to prevent unnecessary prior auth requests. All claims submitted on or after 01/01/2026 using terminated code 0275T will be rejected; verify no legacy systems continue billing this code.