Policy library / 63051 Commercial payer policies listing 63051 5 policies from 5 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Cigna policies listing 63051, with the code’s status in each Policy Effective Status of 63051 Intraoperative Monitoring PayerPolicy · CIGNA-0509 Sep 15, 2025 Covered with conditions
EOCCO / Moda Health policies listing 63051, with the code’s status in each Policy Effective Status of 63051 EOCCO Spine Surgery Code List PayerPolicy · EVICORE-HPLAN-EOCCO-97613B76E347 May 1, 2026 Prior auth required
Health Partners Plans / Jefferson Health Plans policies listing 63051, with the code’s status in each Policy Effective Status of 63051 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 63051, with the code’s status in each Policy Effective Status of 63051 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 63051, with the code’s status in each Policy Effective Status of 63051 Spine Procedures PayerPolicy · UHCMA-POL-UHC_MA-spine-procedures Not recorded Covered