Payer PolicyActive
CMM-310: Manipulation of the Spine Under Anesthesia
EVICORE-CMM-310_MANIPULATION-SPINE-ANESTHESIA
EviCore by Evernorth
Effective: December 1, 2025
Updated: January 13, 2026
created · Dec 5, 2025
Policy Summary
MUA is medically necessary only when performed emergently as a closed treatment of a traumatically induced vertebral fracture or dislocation (after a qualified physician has considered open reduction) and only when performed in conjunction with an active rehabilitation/home exercise program. MUA is not medically necessary for non‑traumatic indications or when performed in isolation without an active rehabilitation/home exercise program.
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Key requirements from the full policy
"Manipulation of the spine under anesthesia (MUA) (i."
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