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Medical Policy Implementation: Epidural Steroid Injections

Effective July 23, 2018, Horizon Blue Cross Blue Shield of New Jersey will change the way we process certain professional claims based on the guidelines of our medical policy, Epidural Steroid Injections.

We encourage you to review this policy content in our Medical Policy Manual.


Based on the guidelines of our medical policy, Epidural Steroid Injections, AND the submitted diagnosis code(s), claims for services provided on and after July 23, 2018 will be processed as noted below.

  • Claims that include CPT® codes 62322, 62323, 62326 and/or 62327 may pend while information required to determine medical appropriateness is requested and reviewed.
     
  • CPT codes 62322, 62323, 62326 and/or 62327 may be denied as not medically necessary services.

Unless Horizon BCBSNJ gives written notice that all or part of the above changes have been cancelled or postponed, the changes will be applied to claims on and after July 23, 2018.

CPT® is a registered mark of the American Medical Association.

Published on: April 23, 2018, 10:50 a.m. ET
Last updated on: April 23, 2018, 11:04 a.m. ET