CPT 0627T · Intradiscal · Alabama Medicaid
ViaDisc / Disc Allograft — Lumbar (1st level) at Alabama Medicaid.
How Alabama Medicaid approaches CPT 0627T (ViaDisc / Disc Allograft — Lumbar (1st level)) for prior-authorization review: at last review on 2026-05-07, the policy does not cover this code without prior authorization.
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Criteria summary
High-level themes from the Alabama Medicaid policy of record for CPT 0627T. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
Source: Alabama Medicaid Agency
See the full Alabama Medicaid criteria.
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