CPT 0629T · Intradiscal · Priority Partners MCO
ViaDisc / Disc Allograft — Cervical/Thoracic (1st level) at Priority Partners MCO.
How Priority Partners MCO approaches CPT 0629T (ViaDisc / Disc Allograft — Cervical/Thoracic (1st level)) for prior-authorization review: at last review on 2026-04-27, the policy does not cover this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
Criteria summary
High-level themes from the Priority Partners MCO 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: Priority Partners (JHHC) — Maryland Medicaid (Category III CPT, no specific medical policy)
See the full Priority Partners MCO 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 →