Rubrica

CPT 0779T · Regenerative · Priority Partners MCO

Percutaneous Tenotomy / Ultrasonic Debridement at Priority Partners MCO.

How Priority Partners MCO approaches CPT 0779T (Percutaneous Tenotomy / Ultrasonic Debridement) for prior-authorization review: at last review on 2026-04-27, 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 2026-04-27

Criteria summary

High-level themes from the Priority Partners MCO policy of record for CPT 0779T. 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)

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