CPT 0629T · Intradiscal · Delaware Medicaid
ViaDisc / Disc Allograft — Cervical/Thoracic (1st level) at Delaware Medicaid.
How Delaware Medicaid approaches CPT 0629T (ViaDisc / Disc Allograft — Cervical/Thoracic (1st level)) for prior-authorization review: at last review on 2026-05-07, the policy does not cover this code without prior authorization.
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Criteria summary
High-level themes from the Delaware Medicaid 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: Delaware Division of Medicaid & Medical Assistance (DMMA)
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