Policy library / 63050 Commercial payer policies listing 63050 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 63050, with the code’s status in each Policy Effective Status of 63050 Headaches: Invasive Procedures PayerPolicy · AETNA-CPB-0707 Feb 20, 2024 Covered
Cigna policies listing 63050, with the code’s status in each Policy Effective Status of 63050 Intraoperative Monitoring PayerPolicy · CIGNA-0509 Sep 15, 2025 Covered with conditions
EOCCO / Moda Health policies listing 63050, with the code’s status in each Policy Effective Status of 63050 EOCCO Spine Surgery Code List PayerPolicy · EVICORE-HPLAN-EOCCO-97613B76E347 May 1, 2026 Prior auth required
Health Partners Plans / Jefferson Health Plans policies listing 63050, with the code’s status in each Policy Effective Status of 63050 Health Partners Plans Spine Surgery Code List PayerPolicy · EVICORE-HPLAN-HEALTH_PARTNERS_PLANS-8C1D8DD0096D Jan 1, 2025 Prior auth required
The Health Plan policies listing 63050, with the code’s status in each Policy Effective Status of 63050 The Health Plan Spine Surgery Code List PayerPolicy · EVICORE-HPLAN-THE_HEALTH_PLAN-9FFECA62F018 Jan 1, 2026 Prior auth required
UnitedHealthcare Medicare Advantage policies listing 63050, with the code’s status in each Policy Effective Status of 63050 Spine Procedures PayerPolicy · UHCMA-POL-UHC_MA-spine-procedures Not recorded Covered