Centinel Spine announced significant expansion of coverage for lumbar total disc replacement (TDR) procedures in Tennessee.
The policy expansion announced by Tennessee’s largest commercial payor represents over 2.3 million covered lives across the state and includes a positive coverage recommendation for both one- and two-level lumbar TDR. Because prodisc L is the only lumbar TDR device with FDA approval for two-level use, the two-level coverage recommendation only applies to the use of the prodisc L lumbar device.
This major positive coverage update continues the trend toward significant coverage for one- and two-level lumbar TDR. With this favorable coverage expansion in Tennessee, it is estimated that coverage for one-level lumbar TDR has grown from 50% of covered lives in 2017 to now approaching 94% today, and that over 30% of commercially-covered lives in the U.S. now have access to two-level lumbar TDR, as well.
Source: Centinel Spine, LLC
Centinel Spine announced significant expansion of coverage for lumbar total disc replacement (TDR) procedures in Tennessee.
The policy expansion announced by Tennessee’s largest commercial payor represents over 2.3 million covered lives across the state and includes a positive coverage recommendation for both one- and two-level lumbar TDR....
Centinel Spine announced significant expansion of coverage for lumbar total disc replacement (TDR) procedures in Tennessee.
The policy expansion announced by Tennessee’s largest commercial payor represents over 2.3 million covered lives across the state and includes a positive coverage recommendation for both one- and two-level lumbar TDR. Because prodisc L is the only lumbar TDR device with FDA approval for two-level use, the two-level coverage recommendation only applies to the use of the prodisc L lumbar device.
This major positive coverage update continues the trend toward significant coverage for one- and two-level lumbar TDR. With this favorable coverage expansion in Tennessee, it is estimated that coverage for one-level lumbar TDR has grown from 50% of covered lives in 2017 to now approaching 94% today, and that over 30% of commercially-covered lives in the U.S. now have access to two-level lumbar TDR, as well.
Source: Centinel Spine, LLC
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JV
Julie Vetalice is ORTHOWORLD's Editorial Assistant. She has covered the orthopedic industry for over 20 years, having joined the company in 1999.