Rubrica

CPT 0629T · Intradiscal · Anthem BCBS

ViaDisc / Disc Allograft — Cervical/Thoracic (1st level) at Anthem BCBS.

How Anthem BCBS approaches CPT 0629T (ViaDisc / Disc Allograft — Cervical/Thoracic (1st 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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Coverage Not covered
Prior auth Prior auth required
InvestigationalInvestigational / experimental
Last reviewed 2026-04-26
Policy numberAnthem Allograft Injection for DDD policy / SURG.00052 (related)

Criteria summary

High-level themes from the Anthem BCBS policy of record for CPT 0629T. Verbatim policy text and per-criterion analysis are available after sign-in.

Coverage criteria details available after sign-in.

Source: Anthem Medical Policy — Allograft Injection for Degenerative Disc Disease

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