Aetna spinal fusion policy
WebAug 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 … 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 …
Aetna spinal fusion policy
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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 …
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). 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.
WebMinimally invasive transforaminal lumbar interbody fusion with direct visualization. Aetna considers minimally invasive transforaminal lumbar interbody fusion with direct … 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 …
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: …
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 … megacity united nationsWebMar 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. name some ace inhibitor drugsWebAetna 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 ... name some antibiotics obtained from microbesWeba history of cervical spinal fusion at another level (adjacent or non-adjacent). Cervical artificial disc replacement at one level combined with cervical spinal fusion surgery at another level (adjacent or non-adjacent), as part of the same surgical plan, is unproven and not medically necessary due to insufficient evidence of efficacy. name some animals for primary consumerWebAetna 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 ... name some appraisal methodsWebAetna; 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 ... megacity tv seriesWebJun 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 … name some built in streams in java