The Official Newsletter ofCentinel Spine®

First Half of 2025 Brings a Significant Number of prodisc® L Lumbar Total Disc Replacement Reimbursement Wins

Steve Sanderson

In conjunction with Centinel Spine's program partner, MCRA, these LTDR reimbursement successes were accomplished for both one and two-level procedures.

With the first half of 2025 now officially over, Centinel Spine can report approval of 70 levels of lumbar total disc replacement with prodisc L, so far this year. This is a significant acceleration in the number of approvals as compared to the previous year—which totaled 88 in all of 2024.

These approvals were accomplished through Centinel Spine's Patient Access Program, or PAP. The program was designed as a complimentary concierge service to support practices in obtaining approval for on-label lumbar total disc replacement cases. It achieves this by:

  • Verifying Insurance Benefits and/or the Need for Pre-Authorization
  • Providing Pre-Authorization Guidance
  • Submitting Pre-Authorization Requests and Denial Appeals to Insurers
  • Submitting Post-Procedure Claim Denial Appeals
  • Providing Supportive Reimbursement Resources

For the PAP, Centinel Spine has partnered with MCRA, a leading global CRO & advisory firm with deep industry experience. Through these combined efforts, the PAP program has obtained positive coverage determinations for over 245 levels from 2022 through 2024.

The graphs below break down the numbers for both utilization and wins in the first half of 2025.

Please contact your Market Development Manager for assistance with the Patient Access Program.

 

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