Aetna spinal fusion policy
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. WebAetna 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 ...
Aetna spinal fusion policy
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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. WebThis Clinical Policy Bulletin addresses evoked potential studies. Medical Necessity. Evoked Potential Studies. Aetna considers evoked potential studies medically necessary for the following indications: Somatosensory evoked potentials (SEPs, SSEPs) or dermatosensory evoked potentials (DSEPs) ... Fusion of spine, lumbar, lumbosacral, …
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 … WebFor individuals who are undergoing spinal fusion who receive an IFD with interbody fusion, the evidence includes a systematic review of nonrandomized comparative studies and case series, and ... 11/27/12 New policy. “Interspinous fixation (fusion) devices are considered investigational for any indication, including but not limited to use: in ...
WebAetna considers the following medically necessary: Cervical laminectomy (and/or an anterior and/or posterior cervical discectomy and fusion) or cervical laminoplasty … 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 …
WebMinimally invasive transforaminal lumbar interbody fusion with direct visualization. Aetna considers minimally invasive transforaminal lumbar interbody fusion with direct …
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. … talitha artsWebcentral 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 talitha arnoldWebMar 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. two-dimensional polymers and polymerizationsWebAetna; 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 ... two-dimensional non-layered materialsWebAug 10, 2024 · Intervertebral Disc Prostheses - Medical Clinical Policy Bulletins Aetna . Intervertebral Disc Prostheses. POLICY HISTORY . Last Review: 08/10/2024 . Effective: 03/08/2002 . Next Review: 06/09/2024 . Review History . ... lumbar spinal fusion surgery for those individuals suffering from back or neck pain due to degenerative disc disease … two-dimensional shear wave elastographyWebJul 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 … two-dimensional resistivity inversionWebAetna considers which following medically necessary: Cervical laminectomy (and/or an anterior and/or posterior cervical discectomy and fusion) or cervical laminoplasty for … two dimensions acgn