CPT 0627T · ViaDisc · BCBS Massachusetts
ViaDisc / Disc Allograft — Lumbar (1st level) at BCBS Massachusetts.
How BCBS Massachusetts approaches CPT 0627T (ViaDisc / Disc Allograft — Lumbar (1st level)) 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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MP 838Criteria summary
High-level themes from the BCBS Massachusetts 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: BCBSMA MP 838 — Allograft Injection for Degenerative Disc Disease
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