CPT 0629T · Intradiscal · Florida Community Care — Florida Medicaid (LTC/MMA)

ViaDisc / Disc Allograft — Cervical/Thoracic (1st level) at Florida Community Care — Florida Medicaid (LTC/MMA).

How Florida Community Care — Florida Medicaid (LTC/MMA) approaches CPT 0629T (ViaDisc / Disc Allograft — Cervical/Thoracic (1st level)) for prior-authorization review: at last review on 2026-05-06, the policy does not cover this code without prior authorization.

Free with practitioner sign-in — magic-link email auth, no credit card.

Coverage Not covered

Prior auth No prior auth

InvestigationalInvestigational / experimental

Last reviewed 2026-05-06

Policy number59G-4.222

Criteria summary

High-level themes from the Florida Community Care — Florida Medicaid (LTC/MMA) 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: Florida Medicaid Pain Management Services Coverage Policy (Rule 59G-4.222 F.A.C.) — source silent on this CPT

See the full Florida Community Care — Florida Medicaid (LTC/MMA) criteria.

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ViaDisc / Disc Allograft — Cervical/Thoracic (1st level) at Florida Community Care — Florida Medicaid (LTC/MMA).

Criteria summary

See the full Florida Community Care — Florida Medicaid (LTC/MMA) criteria.

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