CMM-308: Intradiscal Procedures

Excluded: Intradiscal procedures — including thermal techniques (e.g., IDET/IDTA, biacuplasty/cooled RF), annulo‑nucleoplasty (Disc‑FX), nucleoplasty/plasma disc decompression, PIRFT/RA/TDD, and intradiscal injections (methylene blue, ozone, PRP, stem cells, glucocorticoids, etc.) — are considered experimental, investigational, or unproven with no covered indications. Key requirements: effectiveness is not established and there is potential for serious adverse effects; CPT codes in the guideline are informational only and final coverage/prior authorization decisions rest with individual payors (providers should contact payers).

"Based on lack of conclusive scientific evidence demonstrating clinical efficacy and potential for serious adverse side effects or complications, intradiscal procedures are considered experimental, ..."

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