CMM-308: Intradiscal Procedures
EVICORE-CMM-308_INTRADISCAL-PROCEDURES
Intradiscal procedures—including the listed techniques and injectable agents (e.g., methylene blue, hyaluronate, ozone, bone marrow concentrate, mesenchymal stem cells, etc.)—are considered experimental, investigational, or unproven and are not covered. Inclusion of CPT/HCPCS codes does not imply coverage or prior authorization (and prior authorization is not a guarantee of payment); imaging or requests for atypical presentations require physician review/consultation and coverage/payment is determined by the individual’s health plan/Certificate of Coverage.
"Intradiscal procedures are considered experimental, investigational, or unproven based on the lack of conclusive scientific evidence demonstrating clinical efficacy."
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