Epiduroscopy, Epidural Lysis of Adhesions, and Discography – Commercial and Individual Exchange Medical Policyopen_in_new

UnitedHealthcare deems discography (provocative and functional anesthetic), chemonucleolysis, epiduroscopy (including spinal myeloscopy), and percutaneous or endoscopic epidural lysis of adhesions unproven and not medically necessary, so these procedures are excluded from coverage for the diagnosis or treatment of any neck, back, or spinal disorder. No documented indications will render them covered under this policy (coverage is ultimately determined by the member-specific benefit plan and applicable law), and billing clarification notes functional anesthetic discography should be reported with CPT 64999.

"Coding Clarification: Functional anesthetic discography should be billed with CPT code 64999 (unlisted procedure, nervous system)."

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