CPT 0628T · ViaDisc · BCBS Texas
ViaDisc — Lumbar (additional level) at BCBS Texas.
How BCBS Texas approaches CPT 0628T (ViaDisc — Lumbar (additional level)) for prior-authorization review: at last review on 2024-10-28, 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
2024-10-28
Policy number
MSK01-0725.1v2Criteria summary
High-level themes from the BCBS Texas policy of record for CPT 0628T. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
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