Rubrica

CPT 0629T · Intradiscal · UnitedHealthcare Community Plan of Florida

ViaDisc / Disc Allograft — Cervical/Thoracic (1st level) at UnitedHealthcare Community Plan of Florida.

How UnitedHealthcare Community Plan of Florida 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 with prior authorization required.

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Coverage Not covered
Prior auth Prior auth required
InvestigationalInvestigational / experimental
Last reviewed 2026-05-06
Policy numberCat III investigational

Criteria summary

High-level themes from the UnitedHealthcare Community Plan of Florida 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: UHC Community Plan of Florida — Provider Manual + corporate experimental/investigational policy posture for Cat III intradiscal allograft codes

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