CPT 0275T · Decompression · AmeriHealth Caritas
MILD — Percutaneous Image-Guided Lumbar Decompression (DELETED 2026) at AmeriHealth Caritas.
How AmeriHealth Caritas approaches CPT 0275T (MILD — Percutaneous Image-Guided Lumbar Decompression (DELETED 2026)) for prior-authorization review: at last review on 2026-04-26, the policy does not cover this code with prior authorization required.
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Clearway-MPG-MILDCriteria summary
High-level themes from the AmeriHealth Caritas policy of record for CPT 0275T. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 12 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: Clearway Master Payer Guidelines v2025 — MILD
See the full AmeriHealth Caritas criteria.
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