SURG.00134 Interspinous Process Fixation Devices

This policy addresses interspinous process fixation devices used in spinal surgery (e.g., as adjuncts to instrumented fixation and/or as fusion compartments with bone graft). Anthem considers these devices investigational and not medically necessary for all indications; therefore, they are not covered. This non-coverage applies to any use, including after failed fusion and for degenerative disc disease, pseudoarthrosis, spondylolisthesis, trauma (dislocation/fracture), or tumors.

"Interspinous process fixation devices are consideredinvestigational and not medically necessaryfor all indications."

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