Minimally Invasive Spine Surgery Procedures (for Ohio Only)
Defines UnitedHealthcare medical policy for minimally invasive spine surgery procedures applicable only to Ohio, including coverage rationale, procedures considered unproven/not medically necessary, definitions, literature review summaries, and applicable CPT/HCPCS codes for reference.
Definitions removed: Automated Percutaneous Lumbar Discectomy (APLD); Interlaminar Lumbar Instrumented Fusion (ILIF); Nucleoplasty; Percutaneous or Endoscopic Lumbar Fusion; Transforaminal (TESSYS ® ) and Interlaminar Endoscopic Surgical Systems; Tubular Retractor.
Definitions updated: Axial Lumbar Interbody Fusion (AxiaLIF); Endoscope; Endoscopic Discectomy; Fluoroscopy; Image-Guided Minimally Invasive Lumbar Decompression (MILD ® ); Laparoscopic Anterior Lumbar Interbody Fusion (LALIF); Open Spine Surgery; Percutaneous Image-Guided Lumbar Decompression (PILD); Posterior Lumbar Spine Surgery; Sacroplasty.
Applicable CPT codes 62330 and 62331 were added.
Applicable CPT code 0275T was removed.
Description for CPT code 62287 was revised.
Supporting Information sections (Description of Services, Clinical Evidence, and References) updated; previous policy version CS364OH.C archived.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.