CPT 0629T · Intradiscal · Maryland Physicians Care (MPC)
ViaDisc / Disc Allograft — Cervical/Thoracic (1st level) at Maryland Physicians Care (MPC).
How Maryland Physicians Care (MPC) approaches CPT 0629T (ViaDisc / Disc Allograft — Cervical/Thoracic (1st level)) for prior-authorization review: at last review on 2026-04-26, the policy does not cover this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
Clearway-MPG-ViaDiscCriteria summary
High-level themes from the Maryland Physicians Care (MPC) policy of record for CPT 0629T. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 26 weeks of conservative care typically required.
- Imaging concordance documentation required.
Source: Clearway Master Payer Guidelines v2025 — ViaDisc
See the full Maryland Physicians Care (MPC) 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 →