Dynamic Spinal Stabilization and Vertebral Body Tethering for Spinal Deformities - Medicare Advantage

This policy addresses dynamic spinal stabilization (DSS) and vertebral body tethering (VBT) procedures for spinal deformities, including use of VBT as a growth‑modulation option for skeletally immature patients with adolescent idiopathic scoliosis. However, the Medicare Advantage policy states there are no covered indications in the excerpt because evidence is insufficient to establish medical necessity, cites concerns about long‑term outcomes, reoperation and tether breakage, and notes services must meet Medicare "reasonable and necessary" requirements with patients followed past skeletal maturity.

"None specified in this excerpt."

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