Rubrica

CPT 0779T · Regenerative · Wellpoint Maryland

Percutaneous Tenotomy / Ultrasonic Debridement at Wellpoint Maryland.

How Wellpoint Maryland 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
Policy numberAnthem SURG (Percutaneous Tenotomy)

Criteria summary

High-level themes from the Wellpoint Maryland 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: Anthem Medical Policy — Percutaneous Tenotomy/Tenex (investigational)

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