Prior Auth Required

63053 - spinal cord, cauda equina and/or nerve root[s] [eg, spinal or lateral recess stenosis]

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Procedure / Servicespinal cord, cauda equina and/or nerve root[s] [eg, spinal or lateral recess stenosis]
Procedure / Service Description

Laminoplasty, Cervical, With Decompression Of The Spinal Cord, Two Or More Vertebral - 63052 spinal cord, cauda equina and/or nerve root[s] [eg, spinal or lateral recess stenosis] Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of 63053 spinal cord, cauda equina and/or nerve root[s] [eg, spinal or lateral recess stenosis] 63055 Transpedicular Approach, 1 Segment; Thoracic 63056 Transpedicular Approach, 1 Segment; Lumbar (Transfacet/Lateral Extraforaminal)

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.