Payer PolicyActive
Diagnostic Dynamic Spinal Visualization and Vertebral Motion Analysis – Commercial and Individual Exchange Medical Policyopen_in_new
UHC-POL-diagnostic-dynamic-spinal-vertebral-analysis
UnitedHealthcare
Effective: November 1, 2025
Updated: December 6, 2025
created · Nov 30, 2025
Policy Summary
UnitedHealthcare deems digital motion x‑ray, cineradiography/videofluoroscopy, and vertebral motion analysis unproven and not medically necessary, so they are not covered for any indication due to insufficient, low‑quality evidence that they improve clinical outcomes. No documentation or covered indications are specified, larger controlled trials are required, and plan‑level benefits or listed procedure codes do not guarantee coverage or reimbursement.
Coverage Criteria Preview
Key requirements from the full policy
"None — policy states the technologies below are unproven and not medically necessary (no covered indications are listed)."
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