CPT 0627T · Intradiscal · Horizon NJ Health — NJ Medicaid
ViaDisc / Disc Allograft — Lumbar (1st level) at Horizon NJ Health — NJ Medicaid.
How Horizon NJ Health — NJ Medicaid approaches CPT 0627T (ViaDisc / Disc Allograft — Lumbar (1st level)) for prior-authorization review: at last review on 2026-05-06, the policy does not cover this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
Criteria summary
High-level themes from the Horizon NJ Health — NJ 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: Horizon BCBSNJ — Category III ViaDisc (no specific policy found)
See the full Horizon NJ Health — NJ Medicaid criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →