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X Stop® Interspinous Process Decompression …

    https://www.wellcare.com/-/media/PDFs/CCG/CCG/NA_ALL_CCG_X_Stop_Decompression_eng_03_2019_R.ashx
    The X Stop® Interspinous Process Decompression (IPD) System has been developed as part of a surgical method to treat lumbar s pinal stenosis that includes neurogenic intermittent claudication, a disorder in w hich spinal nerves are compressed or “pinched

Spine Procedures – Medicare Advantage Coverage …

    https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-coverage-sum/spine-procedures.pdf
    X STOP® Interspinous Process Decompression System (CPT codes 22869 and 22870) The X-STOP is a titanium implant that fits between the spinous processes yard of the lower …

Interspinous Process Spacer Devices - Cigna

    https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/mm_0448_coveragepositioncriteria_x_stop_interspinous_process_decompression_system.pdf
    Coverage Policies relate exclusively to the administration of health benefit plans. Coverage Policies are not recommendations for treatment and should never be used as treatment …

Cigna Medical Coverage Policy - AAPC

    https://www.aapc.com/codes/webroot/upload/general_pages_docs/document/mm_0448_coveragepositioncriteria_x_stop_interspinous_process_decompression_system.pdf
    The X-STOP System is a titanium implant with two components: a spacer assembly consisting of a tissue expander, an oval spacer and a fixed wing; and a wing assembly …



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