Billing and Coding: Lumbar Spinal Fusion

Policy A56396 is a billing and coding guideline supplement for lumbar spinal fusion and explicitly complements Local Coverage Determination L37848. It does not by itself state clinical indications, limitations, or frequency limits; reviewers must consult LCD L37848 and the full policy text for specific coverage criteria and claim documentation requirements.

"This article provides billing and coding guidelines that complement Local Coverage Determination (LCD) L37848 for Lumbar Spinal Fusion; refer to LCD L37848 for clinical medical necessity criteria."

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