Rubrica

CPT 0201T · Vertebral Augmentation · Texas Medicaid

Sacroplasty — Bilateral at Texas Medicaid.

How Texas 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.

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Coverage Not covered
Prior auth No prior auth
InvestigationalInvestigational / experimental
Last reviewed 2026-05-06

Criteria summary

High-level themes from the Texas 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.

Source: Texas Medicaid & Healthcare Partnership (TMHP)

See the full Texas Medicaid criteria.

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