CMM-207: Epidural Adhesiolysis

Epidural adhesiolysis (catheter- or endoscopy-based) is considered experimental, investigational, or unproven and is not supported as a covered therapy for back pain, with related CPT codes (62263, 62264, 62280, 62281, 62282) listed accordingly. The guideline cites insufficient scientific evidence, specifies no particular documentation requirements, and notes final reimbursement or prior‑authorization decisions depend on the individual health plan and claims-processing rules.

"None — The guideline states there is insufficient scientific evidence to support the use of epidural adhesiolysis (by catheter or endoscopically) as a treatment for back pain and it is considered e..."

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