Blue Cross and Blue Shield of Texas policy
Allograft Injection for Degenerative Disc Disease
Allograft Injection for Degenerative Disc Disease is a public Blue Cross and Blue Shield of Texas policy (policy SUR705.049, effective Dec 15, 2025). It lists 4 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Policy number
- SUR705.049
- Effective
- Dec 15, 2025
- Line of business
- Commercial, Medicaid
- Source
- medicalpolicy.hcsc.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Open official prior authorization lists to check the member’s product.
| Code | Other Blue Cross and Blue Shield of Texas policies |
|---|---|
| 0627T | Policies naming 0627T |
| 0628T | Policies naming 0628T |
| 0629T | Policies naming 0629T |
| 0630T | Policies naming 0630T |
All Blue Cross and Blue Shield of Texas policies · Blue Cross and Blue Shield of Texas prior authorization CPT list