Anthem Blue Cross Connecticut SURG.00073 Epiduroscopy Form

Effective Date

01/03/2024

Last Reviewed

11/09/2023

Original Document

  Reference



This document addresses epiduroscopy, also known as epidural spinal endoscopy or epidural myeloscopy, an endoscopic procedure where the epidural space is explored for the diagnosis and treatment of radicular spinal pain.

Note: Mechanical or laser lysis, which may be performed with epiduroscopy, is addressed in a related document. Please see the following for additional information:

  • SURG.00072 Lysis of Epidural Adhesions

Position Statement

Investigational and Not Medically Necessary:

Epiduroscopy, also known as epidural spinal endoscopy or epidural myeloscopy, is considered investigational and not medically necessary.