CMM-308: Intradiscal Procedures

This guideline deems intradiscal procedures (e.g., nucleoplasty, IDET/IEA, biacuplasty/cooled RFA, Disc-FX/annulo‑nucleoplasty, various intradiscal injections including PRP, stem cells, ozone, methylene blue, etc.) experimental, investigational, or unproven and therefore not supported as medically necessary/covered. No covered indications, documentation requirements, or coverage criteria are specified; CPT/HCPCS codes are informational only and inclusion does not imply prior authorization or coverage, with lack of efficacy and potential serious adverse events cited as reasons for exclusion.

"Based on the lack of conclusive scientific evidence demonstrating the clinical efficacy of intradiscal procedures and the potential to expose patients to serious adverse side effects or complicatio..."

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