Rubrica

CPT 0627T · Intradiscal · CareFirst BCBS

ViaDisc / Disc Allograft — Lumbar (1st level) at CareFirst BCBS.

How CareFirst BCBS approaches CPT 0627T (ViaDisc / Disc Allograft — Lumbar (1st level)) for prior-authorization review: at last review on 2026-04-26, 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 2026-04-26
Policy numberCareFirst-eviCore-MSK-Pain (Cat III)

Criteria summary

High-level themes from the CareFirst BCBS 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: eviCore Musculoskeletal Interventional Pain — CareFirst BCBS PA List (Category III T-codes; investigational by BCBSA TEC standard)

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