Centinel Spine announced significant expansion to patient access for the prodisc L Lumbar Total Disc Replacement (TDR). An additional 22 million lives will now be covered as the result of an update to medical necessity guidelines by Aetna to include a positive coverage policy recommendation for one-level lumbar TDR.
Aetna is one of the largest commercial insurers in the U.S. and previously had a coverage policy that considered one-level lumbar TDR “experimental and investigational,” and thus not covered. The new positive coverage policy opens access to patients with one-level symptomatic degenerative disc disease (DDD) who may benefit from total disc replacement using a technology such as prodisc L. With Aetna’s coverage update, all major commercial payors now cover one-level lumbar TDR.
Further, effective January 1, 2023, providers began to utilize a new Current Procedural Terminology (CPT) code when performing two-level lumbar total disc arthroplasty via an anterior approach. Centinel Spine’s prodisc L is the only FDA-approved TDR system in the U.S. for two-level use in the lumbar spine. The company has also recently launched prodisc L Anatomic Endplates, designed to shift the lordotic angle of the lumbar implant to the inferior endplate.
Centinel Spine announced significant expansion to patient access for the prodisc L Lumbar Total Disc Replacement (TDR). An additional 22 million lives will now be covered as the result of an update to medical necessity guidelines by Aetna to include a positive coverage policy recommendation for one-level lumbar TDR.
Aetna is one of the largest...
Centinel Spine announced significant expansion to patient access for the prodisc L Lumbar Total Disc Replacement (TDR). An additional 22 million lives will now be covered as the result of an update to medical necessity guidelines by Aetna to include a positive coverage policy recommendation for one-level lumbar TDR.
Aetna is one of the largest commercial insurers in the U.S. and previously had a coverage policy that considered one-level lumbar TDR “experimental and investigational,” and thus not covered. The new positive coverage policy opens access to patients with one-level symptomatic degenerative disc disease (DDD) who may benefit from total disc replacement using a technology such as prodisc L. With Aetna’s coverage update, all major commercial payors now cover one-level lumbar TDR.
Further, effective January 1, 2023, providers began to utilize a new Current Procedural Terminology (CPT) code when performing two-level lumbar total disc arthroplasty via an anterior approach. Centinel Spine’s prodisc L is the only FDA-approved TDR system in the U.S. for two-level use in the lumbar spine. The company has also recently launched prodisc L Anatomic Endplates, designed to shift the lordotic angle of the lumbar implant to the inferior endplate.
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