ISASS Submits Comments to Novitas Draft LCD on Vertebroplasty, Vertebral Augmentation

ISASS Policy & Advocacy News – October 2016
October 31, 2016
ISASS Policy Statement – Decompression with Interlaminar Stabilization
November 10, 2016
Show all

On November 3, ISASS submitted comments to Novitas Solutions Inc., the Medicare Administrative Contractor (MAC) covering Colorado, New Mexico, Oklahoma, Texas, Arkansas, Louisiana, Mississippi, Delaware, D.C., Maryland, New Jersey, and Pennsylvania, on its draft Local Coverage Determination (LCD) on Percutaneous Vertebroplasty and Vertebral Augmentation (Kyphoplasty). The comment letter focused on three aspects of the draft LCD:

  1. Proposed non-coverage of percutaneous sacral augmentation (0200T and 0201T)
  2. Proposed non-coverage of prophylactic use of percutaneous vertebroplasty
  3. Proposed non-coverage of treatment for more than two vertebral levels

ISASS asked Novitas to revisit these issues prior to finalizing the LCD.