CMM-207: Epidural Adhesiolysis

Epidural adhesiolysis (catheter or endoscopic) is considered experimental, investigational, and unproven for back pain and is therefore not covered; CPT codes 62263, 62264, 62280–62282 are listed as experimental/informational. There are no listed covered indications or required documentation, and final coverage determinations depend on the individual health plan’s policy and benefit structure.

"None. (There are no covered indications listed."

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