2024 Aetna spinal fusion policy

Aetna spinal fusion policy

Author: ninq

August undefined, 2024

WebSpine. 2000;25(10):1270-1277. 18. Geurts J, van Wijk R, Stolker R, Groen G. Efficacy of radiofrequency procedures for the treatment of spinal pain: a systematic review of randomized clinical trials. Reg Anesth PainMed. 2001; 26(5):394-400. 19. Gofeld M, Jitendra J, Faclier G. Radiofrequency denervation of the lumbar zygapophysial joints: 10- WebInitial primary anterior cervical discectomy and fusion (ACDF) is considered medically necessary when ALL of the following are met: Recent (within 6 months) plain X-rays of …

Invasive Procedures - Medical Clinical Policy Bulletins

WebJul 25, 2024 · AANS-CNS Letter Regarding Aetna Policy 0016 Section IX, E, Expandable Spinal Cages July 25, 2024 Page 2 of 3 ... Lumbar Interbody Fusion Using Expandable Technology: A Clinical and Radiographic Analysis of 50 Patients. World Neurosurg 90:228-235, 2016 7. Massie LW, Zakaria HM, Schultz LR, Basheer A, Buraimoh MA, Chang V: … WebAetna considers axial lumbar interbody fusion (AxiaLIF), a percutaneous pre-sacral access route to the L5 -S1 vertebral bodies for spinal fusion, experimental and investigational because of insufficient evidence of its effectiveness. clintonville bowling

Spinal Surgery Precertification Information Request Form

WebMay 1, 2011 · Lumbar spinal stenosis (LSS) is a narrowing of the spinal canal that compresses the neural elements in the lower back. The resulting pain, weakness, and/or numbness in the legs is known as neurogenic intermittent claudication. Symptoms are relieved by postural flexion, such as by sitting, squatting, or lying with bent legs. … WebJun 1, 2024 · Aetna to cover sacroiliac joint fusion under new policy. Aetna will cover minimally invasive arthrodesis of the sacroiliac joint under a new policy, which was outlined in a May 29 announcement from medical device company SI-Bone. Effective May 28, the policy gives Aetna's 22 million medical plan members coverage for SI-Bone's iFuse … WebAetna considers which following medically necessary: Cervical laminectomy (and/or an anterior and/or posterior cervical discectomy and fusion) or cervical laminoplasty for … clintonville borough

Total Artificial Disc Replacement for the Spine

WebAetna considers which following medically necessary: Cervical laminectomy (and/or an anterior and/or posterior cervical discectomy and fusion) or cervical laminoplasty for individuals with herniated diskettes or other causes regarding backbone drawstring or neuron shoot compression (osteophytic spurring, ligamentous hypertrophy) when … WebAetna considers axial lumbar interbody fusion (AxiaLIF), a percutaneous pre-sacral access route to the L5 -S1 vertebral bodies for spinal fusion, experimental and investigational because ... Clinical Policy . Bulletin . Notes . Background . Interbody fusion (arthrodesis) in the lumbar spine is performed to treat painful symptoms caused ... bobcat s550 specsWebAetna considers the following medically necessary: Cervical laminectomy (and/or an anterior and/or posterior cervical discectomy and fusion) or cervical laminoplasty available individuals with herniated discs or other causes of spinal cord or nerve root compression (osteophytic spurring, ligamentous hypertrophy) when all of the following ... bobcat s550 windshield replacement

"WebCriteria for medical necessity Our precertification program is aimed at minimizing members’ out-of-pocket costs and improving overall cost efficiencies. It requires that the more cost-effective site of service is used for certain outpatient surgical … " - Aetna spinal fusion policy

Aetna spinal fusion policy

Spinal Surgery: Laminectomy and Fusion - Medical Clinical Policy ...

Webcentral spinal canal at one or two contiguous levels from L1–L5 that require surgical decompression, and BMI not > 40. Patients were followed for two years. Patients received laminectomy and coflex insertion (n=215) or posterolateral spinal fusion with pedicle screw (PS) instrumentation (n=107). The proportion of patients with WebIf you request spinal surgery precertification for an Aetna Medicare Advantage member, we use Centers for Medicare & Medicaid Services benefit policies – when available – to make a coverage determination. These benefit policies include National Coverage Determinations (NCD) and Local Coverage Determinations (LCD).

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WebAug 10, 2024 · Aetna considers concurrent or planned sequential artificial cervical disc replacement with prior or planned cervical spinal fusion at adjacent levels medically … WebAetna considers lumbar spinal fusion experimental and investigational for degenerative disc disease and all other indications not listed above as medically …

WebENDOSCOPIC DISC/NERVE ROOT DECOMPRESSIONof the CERVICAL, THORACIC OR LUMBAR SPINE . Single level lumbar endoscopic disc and/or nerve root decompression (CPT code 62380) for treatment of disc herniation or spinal stenosis and unremitting radiculopathy is considered medically necessary when ALL of the following criteria are … WebMar 8, 2024 · Six details: 1. Aetna uses a clinical policy bulletin — a written directive on coverage positions the insurer considers for certain medical treatments — called "intervertebral disc prostheses" when deciding claims for lumbar ADR. 2.

WebSpinal Surgery: Laminectomy and Fusion - Medical Clinical Policy Bulletins Aetna Spinal Surgery: Laminectomy and Fusion Number: 0743 Table Of Contents Policy Applicable CPT / HCPCS / ICD-10 Codes Background References Policy Scope of … Intervertebral body fusion devices. Aetna considers intervertebral body fusion … Aetna considers evoked potential studies medically necessary for the following … WebAetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Treating providers are solely responsible for medical advice and treatment of members. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider.

WebMinimally invasive transforaminal lumbar interbody fusion with direct visualization. Aetna considers minimally invasive transforaminal lumbar interbody fusion with direct …

WebJul 25, 2024 · AANS-CNS Letter Regarding Aetna Policy 0016 Section IX, E, Expandable Spinal Cages July 25, 2024 Page 2 of 3 ... Lumbar Interbody Fusion Using Expandable … clintonville booster newspaper columbus ohio bobcat s570 hydraulic filter locationWebJun 1, 2024 · Aetna will cover minimally invasive arthrodesis of the sacroiliac joint under a new policy, which was outlined in a May 29 announcement from medical device … bobcat s570 fuel capacityWebOct 1, 2015 · Lumbar spinal fusion surgery may be considered medically necessary and covered for the following indications: 1. Lumbar spinal instability for ANY of the following indications when confirmed by appropriate diagnostic testing (e.g., radiographic imaging, biopsy, bone aspirate, bone scan and gallium scan): Acute spinal fracture bobcat s550 tire sizeWebJun 1, 2024 · The relevant population of interest is patients who are undergoing spinal fusion. Interventions The therapy being considered is interspinous fixation devices with interbody fusion. Comparators The following practice is currently being used for individuals who are undergoing spinal fusion: interspinous fixation devices with pedicle screw … bobcat s570 engine oil capacityWebAetna considers the following medically necessary: Cervical laminectomy (and/or an anterior and/or posterior cervical discectomy and fusion) or cervical laminoplasty … clintonville buy and sellWebAetna; Anthem; Anthem Blue Cross Blue Shield; Blue Cross Blue Shield; ... Dr Hartman did a spinal fusion on me in 2000 and saved my life after a car accident. He told me the more active I was after healing would help prolong the next sx needed..he told me to expect to need another sx in about 10 yrs and 18 yrs later I'm still functioning ... clintonville boys basketball