CPT 0201T · Vertebral Augmentation · Fidelis Care NJ (Centene) — NJ Medicaid
Sacroplasty — Bilateral at Fidelis Care NJ (Centene) — NJ Medicaid.
How Fidelis Care NJ (Centene) — NJ Medicaid approaches CPT 0201T (Sacroplasty — Bilateral) for prior-authorization review: at last review on 2026-05-06, the policy does not cover this code without prior authorization.
Free with practitioner sign-in — magic-link email auth, no credit card.
Centene CP.MP / N.J.A.C. 10:74-8.5Criteria summary
High-level themes from the Fidelis Care NJ (Centene) — NJ Medicaid policy of record for CPT 0201T. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
See the full Fidelis Care NJ (Centene) — NJ Medicaid criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →