CPT 0629T · Intradiscal
ViaDisc / Disc Allograft — Cervical/Thoracic (1st level)
Percutaneous injection of allogeneic cellular/tissue-based product, intervertebral disc, cervical or thoracic; first level.
Free with practitioner sign-in — magic-link email auth, no credit card.
Rubrica tracks payor coverage for CPT 0629T (ViaDisc / Disc Allograft — Cervical/Thoracic (1st level)) across 113 payors — every Medicare MAC, the major commercial plans, the BCBS family, all 50-state Medicaid programs, and selected workers' comp and auto/PIP carriers. Aggregate coverage patterns are shown below; full payor-specific criteria, source citations, and last-reviewed dates are available to signed-in practitioners.
Top payors covering CPT 0629T
Sample of 12 payors with coverage for this code. Sign in for the complete payor list, verbatim criteria, denial-risk score, and source citations for each.
| Payor | Coverage | Prior auth |
|---|---|---|
| Aetna | Covered | No PA |
| Aetna Better Health Medicaid | Covered | No PA |
| Aetna Better Health of Florida | Covered | No PA |
| Aetna Better Health of Maryland | Covered | No PA |
| Aetna Better Health of New Jersey | Covered | No PA |
| Aetna Medicare Advantage | Covered | Prior auth |
| Alabama Medicaid | Covered | No PA |
| Alabama Medicaid (FFS) | Covered | No PA |
| Allstate Auto / PIP | Covered | Prior auth |
| AmTrust Financial WC | Covered | Prior auth |
| Ambetter | Covered | No PA |
| AmeriHealth Caritas | Covered | No PA |
Coverage themes for CPT 0629T
Common patterns across the 113 payors we track. Specific criteria per payor are available after sign-in.
Most payors require ≥26 weeks of conservative care before approving 0629T.
41 of 113 payors require imaging concordance documentation.
Of the 113 payors with coverage records for CPT 0629T, 73 require prior authorization, 0 cover without prior authorization, and 69 flag the procedure as investigational or experimental under current criteria.
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