LCDActive
Intervertebral Disc Repair
L39959
Updated: December 31, 2025
Policy Summary
This policy states that injections for intervertebral disc repair are not covered under the plan. No indications, documentation requirements, or frequency limits for coverage are provided because the procedure is excluded in all cases.
Coverage Criteria Preview
Key requirements from the full policy
"All injections for intervertebral disc repair are non-covered (not a covered service)."
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Covered Medical Codes