Positional Magnetic Resonance Imaging (MRI) and Standing or Portable Ultrasound for Scoliosis

This policy addresses use of positional (upright/kinetic) MRI and standing/portable 3D ultrasound (e.g., Scolioscan/Scolioscan Air) for evaluation of position-dependent back pain, suspected nerve‑root compression or spondylolisthesis, intraoperative/interventional imaging, and diagnosis/monitoring of scoliosis (including assessment for bracing or surgery). Major limitations are that many applications are labeled experimental/investigational (positional MRI for back pain; standing/portable ultrasound for scoliosis), the devices had no FDA clearance as of 2025-01-30, the policy is inactive for claims adjudication, there are no specific billing codes, and low-field/open scanners may yield poorer image quality with limited evidence of clinical benefit.

"Evaluation of back pain when symptoms are positional or provoked by upright/loading positions (sitting or standing)."