Payer PolicyActive
CMM-308: Thermal Intradiscal Procedures
EVICORE-MSK_ADVANCED-3044AB20
EviCore by Evernorth
Effective: August 1, 2019
Updated: January 13, 2026
created · Dec 5, 2025
Policy Summary
Thermal intradiscal procedures (e.g., IDET, IDB/biacuplasty, nucleoplasty/Disc-FX, PIRFT, coblation, etc.) are considered experimental/investigational/unproven and are not covered. No documentation, frequency, age, or patient-selection criteria are provided; CPT codes are informational only and reimbursement/prior‑authorization is determined by individual payors.
Coverage Criteria Preview
Key requirements from the full policy
"None — the guideline does not list any covered indications. (The document describes the intended goals of thermal intradiscal procedures — e."
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