CPT 0275T · Decompression · Priority Partners MCO
MILD — Percutaneous Image-Guided Lumbar Decompression (DELETED 2026) at Priority Partners MCO.
How Priority Partners MCO approaches CPT 0275T (MILD — Percutaneous Image-Guided Lumbar Decompression (DELETED 2026)) for prior-authorization review: at last review on 2026-04-27, the policy does not cover this code with prior authorization required.
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eviCore CMM-608Criteria summary
High-level themes from the Priority Partners MCO 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: JHHC / eviCore CMM-608 — Lumbar Decompression (Priority Partners)
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