Carelon Pain Injections - Spine prior authorization requirements (2026)

What Carelon generally requires to approve Pain Injections - Spine (CPT 62281, 62291, 62292), for Commercial plans. Yes. Carelon 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 Carelon before submitting.

Medical-necessity criteria Carelon generally applies

Epidural steroid injections, selective nerve root blocks, facet injections: (1) Documented spinal diagnosis with imaging (MRI or CT confirming disc pathology, foraminal stenosis, or facet arthropathy at symptomatic level); (2) Radicular or facet-mediated pain pattern correlating with imaging; (3) For initial injection: conservative care attempt (PT ≥4 weeks, NSAIDs unless contraindicated); (4) For repeat injections (same region, same year): documentation of ≥30% pain reduction and functional improvement from prior injection, with duration of benefit stated; (5) Frequency limits: 3–4 per spinal region per year maximum; (6) Facet joint injections: document facet-mediated pain pattern (axial, non-radiating, worsened by extension)

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 Carelon policy.

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

Commonly required documentation

  • MRI or CT report confirming pathology at injection level
  • documented pain pattern with VAS scores pre-injection
  • PT records
  • prior injection records with response (% improvement, duration) if repeat request
  • physician evaluation note specifying injection type, target level, and clinical rationale

How to submit

Source

Repeat injection authorization requires documented prior response — submit prior injection note with % pain relief and duration. Bilateral facet injections at same level require specific justification. Carelon limits to 3 per region per calendar year for most plans.

Frequently asked questions

Does Carelon require prior authorization for Pain Injections - Spine?

Yes. Carelon generally requires prior authorization for Pain Injections - Spine (CPT 62281, 62291, 62292).

What does Carelon require to approve Pain Injections - Spine?

Epidural steroid injections, selective nerve root blocks, facet injections: (1) Documented spinal diagnosis with imaging (MRI or CT confirming disc pathology, foraminal stenosis, or facet arthropathy at symptomatic level); (2) Radicular or facet-mediated pain pattern correlating with imaging; (3) For initial injection: conservative care attempt (PT ≥4 weeks, NSAIDs unless contraindicated); (4) For… Always confirm against the current Carelon policy.

How long does a Carelon prior authorization take?

Carelon typically decides Pain Injections - Spine requests in about 2 days. Timeframes vary; check the payer portal.

Submitting Pain Injections - Spine to Carelon?

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 Carelon prior authorization requirements

Anterior Cervical Discectomy and FusionArthroplasty (Joint Replacement)Arthroscopic Hip Surgery for Impingement Syndrome Including Labral RepairCervical, Lumbar and Thoracic Laminectomy and/or Laminotomy ProceduresDorsal Column (Lumbar) Neurostimulators: Trial or ImplantationKnee ArthroscopyKnee MeniscectomyLumbar Spinal FusionShoulder Arthroplasty Including Revision ProceduresShoulder Arthroscopy Rotator Cuff RepairSpinal Fusion SurgeryTotal Knee Arthroplasty

Related guides

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