CPT 0201T · Vertebral Augmentation · Priority Partners MCO
Sacroplasty — Bilateral at Priority Partners MCO.
How Priority Partners MCO approaches CPT 0201T (Sacroplasty — Bilateral) for prior-authorization review: at last review on 2026-04-27, the policy does not cover this code with prior authorization required.
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eviCore CMM-607Criteria summary
High-level themes from the Priority Partners MCO 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.
Source: JHHC / eviCore CMM-607 — Vertebral Augmentation (Priority Partners)
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