Medical Necessity For Spinal Decompression

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Spinal Decompression Therapy - Cleveland Clinic

https://my.clevelandclinic.org/health/articles/10874-spinal-decompression-therapy

Spinal Decompression Therapy. When you have back pain that won’t go away, you might find relief with spinal decompression. This group of treatments includes alternative therapies and surgery. Your healthcare provider will help you find the right option for you. …

Spinal Surgery: Laminectomy and Fusion - Medical …

https://www.aetna.com/cpb/medical/data/700_799/0743.html

Invasive Procedures - Medical Clinical Policy Bulletins

https://www.aetna.com/cpb/medical/data/1_99/0016.html

Medical Necessity. Aetna considers any of the following injections or procedure medically necessary for the treatment of back pain; ... Endoscopic decompression of spinal cord, …

Spinal Decompression Therapy: Is It Right for You?

https://www.webmd.com/back-pain/guide/spinal-decompression-therapy-surgical-nonsurgical

Nonsurgical spinal decompression is a type of motorized traction that may help relieve back pain. Spinal decompression works by gently stretching the spine. That changes …

Surgical Treatment for Spine Pain - UHCprovider.com

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/surgical-treatment-spine-pain.pdf

Image-Guided Minimally Invasive Lumbar Decompression (mild®): A percutaneous procedure for decompression of the central spinal canal in individuals with lumbar …

Medical Necessity Guidelines: Spinal Cord …

https://tuftshealthplan.com/documents/providers/guidelines/medical-necessity-guidelines/scs-insert

Medical Necessity Guidelines: Spinal Cord Stimulator (SCS) Insertion . Effective: November 16, 2022 . Prior Authorization Required . ... Medical Necessity …

eviCore Spine Surgery Guidelines - Effective 02/03/2020

https://www.evicore.com/-/media/files/evicore/clinical-guidelines/solution/msk--advance/2020/evicore_spinesurgery_eff021420_upd020320.pdf

Discography results will not be used as a determining factor of medical necessity for any requested procedure. Discography use is not endorsed. For spinal fusion surgery …

Non-Surgical Spinal Decompression Traction Devices

http://www.medicalpolicy.hcsc.net/medicalpolicy/pendingPolicyPage?lid=jhoq0spe

Non-surgical spinal decompression (also referred to as vertebral axial decompression) traction devices are used as traction therapy to treat chronic low back …

Image-Guided Minimally Invasive Decompression for Spinal …

https://www.bluecrossnc.com/sites/default/files/document/attachment/services/public/pdfs/medicalpolicy/image-guided_minimally_invasive_lumbar_decompression_for_spinal_stenosis.pdf

BCBSNC may request medical records for determination of medical necessity. When medical records are requested, letters of support and/or explanation are often useful, but …

Spine Procedures – Medicare Advantage Coverage …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-coverage-sum/spine-procedures.pdf

Lumbar Spinal Stenosis [e.g., Interspinus Process Decompression (IPD), Minimally Invasive Lumbar Decompression (mild ®)] (CPT codes 22867, 22868, 22869 and …

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