Public Policy

April 25, 2014

ISASS Responds to CBS Spinal Fusion Segment

CBS recently highlighted the fact that spinal fusions are increasingly common procedures and that indications in some cases are controversial. Their highlighting of “surgeons they looked into” presents a frightening picture of alleged abuses, of a procedure that in many cases is clinically indicated with excellent results. The controversy regarding fusion typically relates to its use in patients with chronic back pain of uncertain origin. For many non degenerative spinal conditions such as fractures, tumors, deformity, instability and infections there is no controversy about fusion surgery. Most diagnoses with a degenerative component including, but not limited to, adult degenerative deformity, spondylolisthesis and certain cases of spinal stenosis and disc degeneration have strong supporting evidence. The controversies in the CBS report […]
April 23, 2014

ISASS Policy Statement – Cervical Artificial Disc

ISASS Policy Statement – Cervical Artificial Disc Domagoj Coric, MD Department of Neurosurgery, Carolinas Medical Center, Charlotte, NC USA Original Article Published at: http://dx.doi.org/10.14444/1006 A PDF version of the Policy Statement is available here. Introduction by Morgan Lorio, MD, FACS, Chair, ISASS Coding & Reimbursement Task Force The ISASS Task Force reached out to Domagoj Coric, MD to provide a timely summation on cervical disc arthroplasty given his special interest and recent IASP championship of this innovative technology to ensure enhanced spine patient access. The ISASS Task Force is pleased with this step towards published ISASS societal policy and applauds Dr. Coric’s effort; if ISASS is to continue to succeed we must continually harness the voluntary talents and energies of our members with gratitude. Background […]
February 15, 2014

ISASS Policy Statement – Cervical Interbody

ISASS Policy Statement – Cervical Interbody   Kern Singh, MD Minimally Invasive Spine Insitute, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL Sheeraz Qureshi, MD, MBA Department of Orthopaedic Surgery, Mt. Sinai Hospital, New York City, NY   This paper was originally published here. A PDF version of this Policy Statement can be accessed here. Introduction By: Morgan Lorio, MD, FACS, Chair, ISASS Task Force on Coding & Reimbursement In 2011, CPT code 22551 was revised to combine or bundle CPT codes 63075 and 22554 when both procedures were performed at the same site/same surgical session. The add on code +22552 is used to report each additional interspace. 2014 heralded a downward pressure on this now prime target […]
February 6, 2014

Introduction of SGR Repeal and Medicare Provider Payment Modernization Act of 2014

ISASS staff participated in a conference call conducted by the American Medical Association (AMA) in which the SRG Repeal Legislation was discussed. We felt ISASS members would want to review the information presented. Staff for the chairmen and ranking minority members of the three Congressional committees of jurisdiction briefed physician groups this afternoon on the results of their bicameral, bipartisan negotiations on repealing the SGR. The “SGR Repeal and Medicare Provider Payment Modernization Act of 2014,” which was introduced by Rep. Michael Burgess, MD (R-TX) in the House as H.R. 4015, addresses only the policy provisions related to eliminating the flawed payment update formula. It does not include financial offsets or any of the usual extender policies. The AMA is […]