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Independence Blue CrossCommercial · Billing Codes · Medical Policy · PA · Neurosurgery, Pain Management, OrthopedicsMedium 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 has reissued Policy 11.15.22e to update CPT codes for Percutaneous Image-Guided Lumbar Decompression (PILD). The outdated code 0275T has been removed and replaced with new specific codes 62330 and 62331, effective 01/01/2026. PILD remains classified as experimental/investigational and is not covered under commercial plans.

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What to do

by Jan 1, 2026 · 4 steps
01Billing team must update billing system and encounter forms to discontinue use of CPT code 0275T for PILD procedures.
02Replace all references with the new codes CPT 62330 (one interspace) and CPT 62331 (additional interspaces).
03Ensure claims submission system denies or flags claims for CPT 62330 and 62331 with denial messaging that states 'PILD is experimental/investigational and not covered.' Educate providers that these procedures require documentation that patient qualifies for Coverage with Evidence Development (CED) clinical trial (HCPCS G0276) if any coverage is to be considered.
04Do not bill 63020, 63030, or 63035 for PILD services, as these codes do not appropriately represent this procedure.
If missed: Failure to update codes may result in claim rejection or post-payment audits.

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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Related changes

See all Independence Blue Cross changes →
MA11.097e, Percutaneous Image-Guided Lumbar Decompression (PILD) for Spinal StenosisMediumNo effective date · Medical PolicyMA11.097f, Percutaneous Image-Guided Lumbar Decompression (PILD) for Spinal StenosisHighEffective Jan 1, 2026 · Medical PolicyMA11.097f, Percutaneous Image-Guided Lumbar Decompression (PILD) for Spinal StenosisMediumEffective Jan 1, 2026 · Medical Policy11.15.22d, Percutaneous Image-Guided Lumbar Decompression (PILD) for Spinal StenosisMediumNo effective date · Medical PolicyBrowse every Independence Blue Cross change in the policy list

Related policy hubs

Independence Blue Cross policiesPA policy changesNeurosurgeryPain ManagementOrthopedicsCode 62330Code 62331Code G0276

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