CPT 0629T · Pelvic Pain · Illinois Medicaid (HFS)
ViaDisc / Disc Allograft — Cervical/Thoracic (1st level) at Illinois Medicaid (HFS).
How Illinois Medicaid (HFS) approaches CPT 0629T (ViaDisc / Disc Allograft — Cervical/Thoracic (1st level)) for prior-authorization review: at last review on 2025-11-01, the policy covers this code with prior authorization required.
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Criteria summary
High-level themes from the Illinois Medicaid (HFS) policy of record for CPT 0629T. Verbatim policy text and per-criterion analysis are available after sign-in.
- Conservative care expectations vary; sign in for specifics.
- Imaging concordance documentation required.
Source: Illinois Medicaid (HFS) Pelvic Pain Management
See the full Illinois Medicaid (HFS) criteria.
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