Payer PolicyActive
Minimally Invasive Spine Surgery Procedures – Commercial and Individual Exchange Medical Policyopen_in_new
UHC-POL-minimally-invasive-spine-surgery
UnitedHealthcare
Effective: May 1, 2025
Updated: December 6, 2025
created · Nov 30, 2025
Policy Summary
UnitedHealthcare labels a range of minimally invasive spine procedures — including AxiaLIF, PILD, sacroplasty, APLD, PELD, MILD, LALIF, TLIF using only endoscopic visualization, and similar percutaneous/endoscopic approaches — as unproven and not medically necessary (generally excluded) due to insufficient evidence. Coverage must follow the member-specific benefit plan and applicable federal/state/Medicare mandates (check the member’s plan and any relevant guidance); the policy lists no additional documentation requirements.
Coverage Criteria Preview
Key requirements from the full policy
"No explicit "Covered Indications" or "Medically Necessary" indications are provided in this policy document."
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