Rubrica

CPT 0630T · Intradiscal · Horizon NJ Health — NJ Medicaid

ViaDisc — Cervical/Thoracic (add'l) at Horizon NJ Health — NJ Medicaid.

How Horizon NJ Health — NJ Medicaid approaches CPT 0630T (ViaDisc — Cervical/Thoracic (add'l)) 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

Criteria summary

High-level themes from the Horizon NJ Health — NJ Medicaid policy of record for CPT 0630T. Verbatim policy text and per-criterion analysis are available after sign-in.

Coverage criteria details available after sign-in.

Source: Horizon BCBSNJ — Category III ViaDisc add-on

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