CPT 0629T · Intradiscal · Aetna Medicare Advantage
ViaDisc / Disc Allograft — Cervical/Thoracic (1st level) at Aetna Medicare Advantage.
How Aetna Medicare Advantage approaches CPT 0629T (ViaDisc / Disc Allograft — Cervical/Thoracic (1st level)) for prior-authorization review: at last review on 2026-05-08, the policy covers this code with prior authorization required.
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Coverage
Covered
Prior auth
Prior auth required
InvestigationalInvestigational / experimental
Last reviewed
2026-05-08
Policy number
Clearway-MPG-ViaDiscCriteria summary
High-level themes from the Aetna Medicare Advantage policy of record for CPT 0629T. 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.
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