CPT 0275T · Decompression · Medicare (Palmetto GBA MAC)
MILD — Percutaneous Image-Guided Lumbar Decompression (DELETED 2026) at Medicare (Palmetto GBA MAC).
How Medicare (Palmetto GBA MAC) approaches CPT 0275T (MILD — Percutaneous Image-Guided Lumbar Decompression (DELETED 2026)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.
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NCD 150.13Criteria summary
High-level themes from the Medicare (Palmetto GBA MAC) 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: NCD 150.13 — PILD for Lumbar Spinal Stenosis (legacy 0275T mapping)
See the full Medicare (Palmetto GBA MAC) criteria.
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