CPT 0629T · Intradiscal · Medicare (CGS MAC)
ViaDisc / Disc Allograft — Cervical/Thoracic (1st level) at Medicare (CGS MAC).
How Medicare (CGS MAC) 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 without prior authorization.
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Clearway-MPG-ViaDiscCriteria summary
High-level themes from the Medicare (CGS MAC) 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
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