The Official Newsletter ofCentinel Spine®

2023 was a BIG YEAR for Lumbar Total Disc Replacement (LTDR) Expanded Coverage and Reimbursement Wins

Laurie Butler

Take a moment to review this roundup of several LTDR coverage and prodisc L reimbursement highlights from last year.

Big Announcements for LTDR Coverage Expansion and Total Covered Lives

2023 saw tremendous gains in the number of total covered lives for both one- and two-level lumbar total disc replacement. Below is a roundup of the significant announcements for LTDR coverage throughout last year.

 

JANUARY 2023:
New CPT Code Effective for Second Level of Lumbar Total Disc Replacement Procedures

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FEBRUARY 2023:
Aetna® Updates Lumbar Disc Replacement Guidelines; All Major Payors Now Cover prodisc L

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AUGUST 2023:
Largest Commercial Payers in IL, TX, NM, and OK Expand Patient Access to Two-level prodisc L

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SEPTEMBER 2023:
Top Commercial Payer in MI Expands Patient Access to One- & Two-level prodisc L

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OCTOBER 2023:
#1 North Carolina Commercial Payer Expanding Coverage of One- & Two-Level prodisc L

 

2023 prodisc L Reimbursement Wins

Last year's coverage success extended to reimbursement, with a significant number of wins through the utilization of MCRA for reimbursement submissions—including the approval of 84 levels of lumbar disc replacement with prodisc L.

The graph below breaks down the numbers.

 

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