Rubrica

CPT 0275T · Decompression · Molina Healthcare of Florida

MILD — Percutaneous Image-Guided Lumbar Decompression (DELETED 2026) at Molina Healthcare of Florida.

How Molina Healthcare of Florida approaches CPT 0275T (MILD — Percutaneous Image-Guided Lumbar Decompression (DELETED 2026)) for prior-authorization review: at last review on 2026-05-06, the policy does not cover this code with prior authorization required.

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Coverage Not covered
Prior auth Prior auth required
InvestigationalInvestigational / experimental
Last reviewed 2026-05-06
Policy numberMolina FL defers — 0275T deleted 2026

Criteria summary

High-level themes from the Molina Healthcare of Florida policy of record for CPT 0275T. Verbatim policy text and per-criterion analysis are available after sign-in.

Coverage criteria details available after sign-in.

Source: Molina Healthcare of Florida — defers to FL Medicaid FFS (CMS NCD 150.13 — MILD; CPT 0275T DELETED 01/01/2026, replaced by 62330/62331)

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