CPT 0275T · Decompression · Oscar Health
MILD — Percutaneous Image-Guided Lumbar Decompression (DELETED 2026) at Oscar Health.
How Oscar Health 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.
Free with practitioner sign-in — magic-link email auth, no credit card.
Coverage
Not covered
Prior auth
Prior auth required
Last reviewed
2026-04-26
Policy number
Clearway-MPG-MILDCriteria summary
High-level themes from the Oscar Health 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 Oscar Health criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →