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CGS Administrators Establishes Positive Coverage for MIS SI Joint Fusion Effective 2/1/16 -

CGS Administrators, the Medicare Administrative Contractor covering Kentucky and Ohio, issued a positive local coverage determination for MIS SI joint fusion that will become effective on 2/1/16.  The policy is based on the combination of a number of clinical publications demonstrating the safety and effectiveness of the iFuse Implant System and the positive medical professional society coverage recommendations from the North American Spine Society and the International Society for the Advancement of Spine Surgery.  

CGS is the 6th Medicare contractor to provide coverage for MIS SI joint fusion, adding 2.8 million beneficiaries who now have access to MIS SI joint fusion, bringing the total number of Medicare covered lives to ~30 million.

iFuse Implant System is FDA cleared with an indication citing clinical studies that demonstrated improved pain, patient function and quality of life out to 12 months post-implantation

Source: SI-BONE, Inc.

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