CPT 0275T · Decompression · Medicare (WPS MAC)
MILD — Percutaneous Image-Guided Lumbar Decompression (DELETED 2026) at Medicare (WPS MAC).
How Medicare (WPS MAC) 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 without prior authorization.
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Clearway-MPG-MILDCriteria summary
High-level themes from the Medicare (WPS 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: Clearway Master Payer Guidelines v2025 — MILD
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