CPT 0201T · Vertebral Augmentation · Wellpoint Maryland
Sacroplasty — Bilateral at Wellpoint Maryland.
How Wellpoint Maryland 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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SURG.00052Criteria summary
High-level themes from the Wellpoint Maryland 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: Anthem Medical Policy SURG.00052 — Percutaneous Vertebral Disc and Vertebral Endplate Procedures
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