CPT 0275T · Decompression · ChampVA
MILD — Percutaneous Image-Guided Lumbar Decompression (DELETED 2026) at ChampVA.
How ChampVA approaches CPT 0275T (MILD — Percutaneous Image-Guided Lumbar Decompression (DELETED 2026)) for prior-authorization review: at last review on 2026-04-26, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-04-26
Policy number
Clearway-MPG-MILDCriteria summary
High-level themes from the ChampVA 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
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