ISASS Policy Statements

June 25, 2019

ISASS Coding and Reimbursement Task Force Develops Policy Statements on New Spine Technologies

ISASS’ Coding and Reimbursement Task Force is undertaking drafts of policy statements on two new spine technologies, the Intracept procedure for Basivertebral nerve treatment, and the Barricaid implant for annular closure. These technologies are among the newest and most promising treatments for vertebral conditions and likely to increase in dissemination and use by practitioners.  The policy statements will be evidence-based evaluations of literature and clinical data for each procedure and will help practitioners and payers assess the merits of coverage for the services. The final drafts will be forwarded to the ISASS board for review and final publication on the ISASS website as well as in the International Journal of Spine Surgery, ISASS’ journal. ISASS is grateful for the leadership […]
February 26, 2019

ISASS Publishes Policy Statements on Bone Graft Procedures and Vertebral Augmentation

ISASS has published a new policy statement on Bone Grafting procedures and an updated policy on Vertebral Augmentation. These policies are based on review by clinical experts and reviewed and published in the International Journal of Spine Surgery, the official ISASS journal, in February 2019. Links to the policy statements can be found on the ISASS website. Bone Graft Policy Updated Vertebral Augmentation Policy
February 13, 2019

Vertebral Augmentation: Coverage Indications, Limitations, and/or Medical Necessity

Vertebral Augmentation: Coverage Indications, Limitations, and/or Medical Necessity OLIVIER CLERK-LAMALICE,1 DOUGLAS P. BEALL,2 KEVIN ONG,3 MORGAN P. LORIO4 1Western Canada Pain Institute, Edmonton, Alberta, Canada, 2Clinical Radiology of Oklahoma, Edmond, Oklahoma,3Exponent, Inc., Philadelphia, Pennsylvania, 4Hughston Clinic Orthopaedics—Centennial, Nashville, Tennessee ABSTRACT The ISASS Policy Statement on vertebral augmentation has the objectives to provide a background and an update with the latest clinical evidence for the international spine community. A SpineLine Panel Review (2010) appropriately recommended an exploration of ‘‘the seeming disconnect between the conclusions of . . . two [Level I] PRCT’s and previous experience and data’’ regarding vertebral augmentation. ISASS responded by supporting a comprehensive meta-analysis to help frame a cogent historical analysis of vertebral augmentation. This ISASS Policy 2018 […]
January 30, 2019

ISASS Recommendations and Coverage Criteria for Bone Graft Substitutes used in Spinal Surgery

ISASS Recommendations and Coverage Criteria for Bone Graft Substitutes used in Spinal Surgery CELESTE ABJORNSON, PHD,1 ANTONIO BRECEVICH, MD,1 TUCKER CALLANAN, MS,1 CHRISTINA DOWE, BS,1 FRANK P. CAMMISA, JR, MD,1 MORGAN P. LORIO, MD, FACS2 1Hospital for Special Surgery, New York, New York, 2Hughston Clinic Orthopaedics, Nashville, Tennessee   INTRODUCTION Over the past 3 decades, there has been an increased interest in bone grafting materials as these materials have become a vital part of most spinal procedures. Unlike other areas of orthopedics, spinal surgery often requires grafting procedures to induce de novo bone in an area stabilized by metal devices. When considering potential graft materials, assuming an adequate blood supply, it is important to note that a successful graft needs […]