Anthem/Elevance Health Pain Injections - Spine prior authorization requirements (2026)

What Anthem/Elevance Health generally requires to approve Pain Injections - Spine (CPT 62281, 62291, 62292), for Commercial plans. Yes. Anthem/Elevance Health generally requires prior authorization for Pain Injections - Spine (CPT 62281, 62291, 62292).

General reference compiled from public sources. This is not a coverage determination or medical advice. Always confirm current requirements with Anthem/Elevance Health before submitting.

Medical-necessity criteria Anthem/Elevance Health generally applies

(1) MRI/CT confirming structural pathology at injection level; (2) Radicular or facet-mediated pain correlating with imaging; (3) Conservative care ≥4 weeks (PT, NSAIDs) for initial injection; (4) Repeat: ≥30% improvement from prior injection, duration of benefit documented; (5) Maximum 3–4 per region per year

Diagnoses that commonly support medical necessity

ICD-10-CM diagnoses frequently associated with medical necessity for Pain Injections - Spine. Confirm the covered diagnosis list against the current Anthem/Elevance Health policy.

M54.16Radiculopathy, lumbar regionM54.12Radiculopathy, cervical regionM47.816Spondylosis without myelopathy or radiculopathy, lumbar region

Commonly required documentation

  • MRI/CT report
  • VAS pain scores
  • PT records
  • prior injection documentation with response
  • physician evaluation note

How to submit

Source

Repeat authorization requires explicit prior response documentation. Bilateral or multilevel injections on same day require clinical justification.

Frequently asked questions

Does Anthem/Elevance Health require prior authorization for Pain Injections - Spine?

Yes. Anthem/Elevance Health generally requires prior authorization for Pain Injections - Spine (CPT 62281, 62291, 62292).

What does Anthem/Elevance Health require to approve Pain Injections - Spine?

(1) MRI/CT confirming structural pathology at injection level; (2) Radicular or facet-mediated pain correlating with imaging; (3) Conservative care ≥4 weeks (PT, NSAIDs) for initial injection; (4) Repeat: ≥30% improvement from prior injection, duration of benefit documented; (5) Maximum 3–4 per region per year Always confirm against the current Anthem/Elevance Health policy.

How long does a Anthem/Elevance Health prior authorization take?

Anthem/Elevance Health typically decides Pain Injections - Spine requests in about 2 days. Timeframes vary; check the payer portal.

Submitting Pain Injections - Spine to Anthem/Elevance Health?

Praxigen checks your clinical note against these criteria before you submit and drafts a policy-cited appeal if it is denied. You review and submit; nothing is sent automatically.

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Other Anthem/Elevance Health prior authorization requirements

Anterior Cervical Discectomy and FusionArthroscopic Hip Surgery for Impingement Syndrome Including Labral RepairCarpal Tunnel SurgeryCT Abdomen and Pelvis with contrastCTA Chest (e.g., pulmonary embolism)Dorsal Column (Lumbar) Neurostimulators: Trial or ImplantationKnee ArthroscopyKnee MeniscectomyLumbar Spinal FusionMRI Brain without contrastMRI Cervical Spine without contrastMRI Lower Extremity Joint without contrast

Related guides

Why was my prior authorization denied? Top reasons and how to fix eachHow to write a prior authorization appeal that cites policy