CPT 0628T · Intradiscal · CareFirst BCBS
ViaDisc — Lumbar (additional level) at CareFirst BCBS.
How CareFirst BCBS approaches CPT 0628T (ViaDisc — Lumbar (additional 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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CareFirst-eviCore-MSK-Pain (Cat III)Criteria summary
High-level themes from the CareFirst BCBS 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.
Source: eviCore Musculoskeletal Interventional Pain — CareFirst BCBS PA List (Cat III)
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