CPT 0627T · ViaDisc · BCBS Tennessee
ViaDisc / Disc Allograft — Lumbar (1st level) at BCBS Tennessee.
How BCBS Tennessee 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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BCBS-TN MPM (Investigational Services default)Criteria summary
High-level themes from the BCBS Tennessee 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: BCBS-TN Investigational Services (default for Category III/emerging codes)
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