CPT 0627T · Intradiscal · Medicare (NGS MAC)
ViaDisc / Disc Allograft — Lumbar (1st level) at Medicare (NGS MAC).
How Medicare (NGS MAC) 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 without prior authorization.
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Coverage
Not covered
Prior auth
No prior auth
InvestigationalInvestigational / experimental
Last reviewed
2026-04-26
Policy number
Clearway-MPG-ViaDiscCriteria summary
High-level themes from the Medicare (NGS MAC) policy of record for CPT 0627T. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 26 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: Clearway Master Payer Guidelines v2025 — ViaDisc
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