Open Neuroplasty Lumbar Plexus - (0587)

Cigna covers open neuroplasty of the lumbar plexus (CPT 64714) only as medically necessary for documented lumbar plexus nerve compression causing significant symptoms and does not cover the procedure for other indications (including lumbar spine decompression). Coverage requires imaging or electrodiagnostic confirmation (MRI/CT/EMG/US), clinical findings supporting surgery, documentation of failed conservative therapy or rationale for omission (e.g., acute trauma), and correct diagnosis/procedure coding.

"Open Neuroplasty Lumbar Plexus is considered medically necessary when there is documented nerve compression (i."

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