Policy library / 63043 Commercial payer policies listing 63043 6 policies from 6 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Aetna policies listing 63043, with the code’s status in each Policy Effective Status of 63043 Headaches: Invasive Procedures PayerPolicy · AETNA-CPB-0707 Feb 20, 2024 Covered
Carelon Medical Benefits Management policies listing 63043, with the code’s status in each Policy Effective Status of 63043 Spine Surgery [for Wellpoint Massachusetts] Clinical Guideline · CARELON-SPINE-SURGERY-SUPERSEDED Nov 15, 2025 Covered
EOCCO / Moda Health policies listing 63043, with the code’s status in each Policy Effective Status of 63043 EOCCO Spine Surgery Code List PayerPolicy · EVICORE-HPLAN-EOCCO-97613B76E347 May 1, 2026 Prior auth required
Health Partners Plans / Jefferson Health Plans policies listing 63043, with the code’s status in each Policy Effective Status of 63043 Health Partners Plans Spine Surgery Code List PayerPolicy · EVICORE-HPLAN-HEALTH_PARTNERS_PLANS-8C1D8DD0096D Jan 1, 2025 Prior auth required
Humana policies listing 63043, with the code’s status in each Policy Effective Status of 63043 Spinal Decompression Surgery PayerPolicy · HUMANA-SPINAL-DECOMPRESSION-SURGERY-MA Feb 2, 2026 Covered
The Health Plan policies listing 63043, with the code’s status in each Policy Effective Status of 63043 The Health Plan Spine Surgery Code List PayerPolicy · EVICORE-HPLAN-THE_HEALTH_PLAN-9FFECA62F018 Jan 1, 2026 Prior auth required