CPT 0629T · ViaDisc · BCBS Montana
ViaDisc / Disc Allograft — Cervical/Thoracic (1st level) at BCBS Montana.
How BCBS Montana approaches CPT 0629T (ViaDisc / Disc Allograft — Cervical/Thoracic (1st level)) for prior-authorization review: at last review on 2024-10-28, the policy does not cover this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
Coverage
Not covered
Prior auth
Prior auth required
InvestigationalInvestigational / experimental
Last reviewed
2024-10-28
Policy number
MSK01-0725.1v2Criteria summary
High-level themes from the BCBS Montana 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.
See the full BCBS Montana criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →