Prior Auth Required

28740 - Lumbar Decompression for Lumbar

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceLumbar Decompression for Lumbar
Procedure / Service Description

Intradiscal Procedures (TIPs) NCD - Intradiscal Procedures (TIPs) NCD 150.13 Percutaneous Image-Guided 26535, 26536, 28110, 28240, 28285, 28289, 28291, 28292, 28295-28299, 28306, Lumbar Decompression for Lumbar 28308, 28310, 28740, 28750, L8641 Spinal Stenosis LCD L36406 Minimally-invasive Surgical (MIS) 30400, 30410, 30420, 30430, 30435, 30450, 30460, 30462, 30468

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.