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Medicare denies coverage for Vertos’ spinal device, but leaves room for clinical trials

January 10, 2014 By Mass Device

The Centers for Medicare & Medicaid Services say image-guided lumbar decompression in treatment of spinal stenosis will not be reimbursed unless it’s part of an approved clinical study.

Medicare officials deny coverage for image-guided spinal stenosis treatment

The Centers for Medicare & Medicaid Services this month issued a final decision memo rejecting reimbursement for lumbar decompression in treatment of spinal stenosis, largely reiterating a proposal issued in October.

CMS officials agreed, however, to provide Medicare reimbursement for percutaneous image guided lumbar decompression (PILD) when the procedure is provided during an approved clinical study in patients with lumbar spinal stenosis.

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