CPT 0481T · Procedure (templated) · Medicare (Palmetto GBA MAC)
Bone Marrow Aspirate Concentrate (BMAC) Injection at Medicare (Palmetto GBA MAC).
How Medicare (Palmetto GBA MAC) approaches CPT 0481T (Bone Marrow Aspirate Concentrate (BMAC) Injection) for prior-authorization review: at last review on 2026-05-02, the policy covers this code with prior authorization required.
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Criteria summary
High-level themes from the Medicare (Palmetto GBA MAC) policy of record for CPT 0481T. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 6 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: Medicare (Palmetto GBA MAC) LCD / Local Coverage Article
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