Rubrica

CPT 0629T · ViaDisc · BCBS Massachusetts

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

How BCBS Massachusetts approaches CPT 0629T (ViaDisc / Disc Allograft — Cervical/Thoracic (1st level)) for prior-authorization review: at last review on 2026-04-27, 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 2026-04-27
Policy numberMP 838

Criteria summary

High-level themes from the BCBS Massachusetts 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: BCBSMA MP 838 — Allograft Injection for Degenerative Disc Disease

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