Rubrica

CPT 0275T · Decompression · UnitedHealthcare (Commercial)

MILD — Percutaneous Image-Guided Lumbar Decompression (DELETED 2026) at UnitedHealthcare (Commercial).

How UnitedHealthcare (Commercial) approaches CPT 0275T (MILD — Percutaneous Image-Guided Lumbar Decompression (DELETED 2026)) for prior-authorization review: at last review on 2026-04-24, 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 2026-04-24
Policy number2026T0640H

Criteria summary

High-level themes from the UnitedHealthcare (Commercial) 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: UHC Commercial/Individual Exchange — Minimally Invasive Spine Surgery Procedures

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