Response to Comments: Intraosseous Basivertebral Nerve Ablation

This response describes that the final Local Coverage Determination for intraosseous basivertebral nerve ablation was developed using the best currently available published clinical evidence and in accordance with CMS Program Integrity Manual Chapter 13. The policy emphasizes reliance on peer-reviewed research, systematic reviews/meta-analyses, and evidence-based consensus statements and guidelines to afford the most optimal opportunity for success in Medicare-eligible beneficiaries; this document does not specify specific clinical indications, exclusions, documentation forms, or frequency limits.

"MACs shall use evidence of general acceptance by the medical community (published original research in peer-reviewed journals, systematic reviews and meta-analyses, evidence-based consensus stateme..."

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