CommercialPrior AuthHigh impact
Preauthorization Review for Percutaneous Endoscopic Discectomy
Blue Cross Blue Shield of Rhode Island·RI · Orthopedics, Neurosurgery, Pain Management·Physician / Facility
Effective date
Feb 1, 2020
We identified it
Jun 19, 2026
Summary
Effective February 1, 2020, CPT code 62380 for percutaneous endoscopic discectomy (lumbar spine) now requires prior authorization for all BlueCross BlueShield of Rhode Island commercial and Medicare products. This procedure will be subject to preauthorization review through their web-based tool.
Action Required
Before February 1, 2020: Billing team must update system to require prior authorization for CPT 62380 (percutaneous endoscopic discectomy) for all BCBSRI commercial and Medicare patients. Update encounter forms and EMR alerts to notify providers. Access the Preauthorization via Web-Based Tool for Procedures to submit requests. Claims will be denied without prior authorization.