Advocacy Alert: HCSC Drafts New Policy for Lumbar Spinal Fusions

Advocacy Alert: ISASS Letter to CMS Division of Outpatient Care Regarding the Removal of Cervical Disc Arthroplasty from the Medicare “Inpatient Only” List
April 20, 2012
Advocacy Alert Update: ISASS President Steven Garfin, MD Rebuts HCSC/BCBSIL Draft Policy Changes for Lumbar Spinal Fusion Surgery
May 21, 2012
Show all

Earlier this week, HCSC, the parent corporation for Blue Cross/Blue Shield plans in Illinois, New Mexico, Oklahoma, and Texas, issued a new draft policy for Lumbar Spinal Fusions.

Concerns have been raised that this new policy rules out access to lumbar fusion for patients where the sole indication is a disc herniation or neurostructure compression (initial discectomy/laminectomy), and patients with a sole indication of degenerative disc disease or facet syndrome.

To review this draft policy, please Click Here

ISASS is currently conducting a review of this proposed policy, and expects to issue comments to HCSC prior to the May 31st comment deadline, accompanied by our evidence-based Policy Statement on Lumbar Fusion Surgeries.

However, it is very important that HCSC hear from surgeons in the states effected by the new policy. Please take a moment to review the draft policy, and consider how such a policy will impact your practice and your patients. We are happy to help you formulate a response to HCSC. Again, the deadline for comments is May 31st.

For a review of the ISASS’ policy, please see: Policy Statement on Lumbar Fusion Surgeries

If you have any questions, please contact David Porter at david@isass.org or call +1 847-491-0873.