Rubrica

CPT 0630T · Intradiscal · Simply Healthcare Plans (Anthem/Elevance) — Florida Medicaid

ViaDisc — Cervical/Thoracic (add'l) at Simply Healthcare Plans (Anthem/Elevance) — Florida Medicaid.

How Simply Healthcare Plans (Anthem/Elevance) — Florida 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
Policy numberAnthem Allograft Injection for DDD policy / SURG.00052 (related)

Criteria summary

High-level themes from the Simply Healthcare Plans (Anthem/Elevance) — Florida 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: Anthem Medical Policy — Allograft Injection for Degenerative Disc Disease

See the full Simply Healthcare Plans (Anthem/Elevance) — Florida Medicaid criteria.

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