Payer PolicyActive
SURG.00073 Epiduroscopy
ANTHEM-SURG.00073
Anthem
Effective: January 30, 2025
Updated: December 30, 2025
Policy Summary
This policy addresses epiduroscopy (epidural spinal endoscopy/epidural myeloscopy), which uses a flexible endoscope to visualize the epidural space and may guide interventions such as lysis of adhesions or steroid delivery. Anthem considers epiduroscopy investigational and not medically necessary; therefore, it is not covered. This noncoverage applies to all indications and settings—diagnostic or therapeutic—and includes services reported with unlisted code 64999.
Coverage Criteria Preview
Key requirements from the full policy
"Epiduroscopy, also known as epidural spinal endoscopy or epidural myeloscopy,is consideredinvestigational and not medically necessary."
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