16 commercial payer policies list 62264. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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16 policies from 15 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 62264 |
|---|---|---|
| Cigna Commercial Interventional Pain Management Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of 62264 |
|---|---|---|
| Back Pain - Invasive Procedures | Mar 13, 2024 | Covered |
| Policy | Effective | Status of 62264 |
|---|
| Lysis of Epidural Lesions | Not recorded | Covered |
|---|
| Policy | Effective | Status of 62264 |
|---|---|---|
| Lysis of Epidural Adhesions | Apr 15, 2026 | Not covered |
| Policy | Effective | Status of 62264 |
|---|---|---|
| Lysis of Epidural Adhesions | Apr 15, 2026 | Covered |
| Policy | Effective | Status of 62264 |
|---|---|---|
| Lysis of Epidural Adhesions | Apr 15, 2026 | Covered |
| Policy | Effective | Status of 62264 |
|---|---|---|
| Lysis of Epidural Adhesions | Apr 15, 2026 | Covered |
| Policy | Effective | Status of 62264 |
|---|---|---|
| Lysis of Epidural Adhesions | Apr 15, 2026 | Covered |
| Policy | Effective | Status of 62264 |
|---|---|---|
| Interventional Pain Management | Jun 14, 2026 | Covered |
| Policy | Effective | Status of 62264 |
|---|---|---|
| Cigna Medicare Advantage Interventional Pain Management Code List | Jan 1, 2025 | Prior auth required |
| Policy | Effective | Status of 62264 |
|---|---|---|
| Health Alliance Plan MSK Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 62264 |
|---|---|---|
| Lysis of Epidural Adhesions | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 62264 |
|---|---|---|
| Epiduroscopy, Epidural Lysis of Adhesions, and Discography | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 62264 |
|---|---|---|
| Epiduroscopy, Epidural Lysis of Adhesions, and Discography | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 62264 |
|---|---|---|
| Epiduroscopy, Epidural Lysis of Adhesions, and Discography | Jan 1, 2026 | Covered |