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Allograft Injection for Degenerative Disc Disease

Blue Cross & Blue Shield of Mississippi·MS · Orthopedics, Neurosurgery, Pain Management +1 more·Pharmacy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

BCBS policy A.7.01.166 classifies allograft injection for degenerative disc disease as investigational and not covered. Four new CPT-4 codes (0627T, 0628T, 0629T, 0630T) are specifically listed as investigational for these procedures.

Action Required

Action needed
Immediately: Update billing system to flag CPT codes 0627T, 0628T, 0629T, and 0630T as investigational/non-covered for BCBS plans. Alert providers that allograft injections for degenerative disc disease will be denied. Consider obtaining advance beneficiary notices (ABNs) if patients want to proceed with these procedures.