Herniated Lumbar Disc Treatment, Percutaneous
Specialty Matched Consultant Advisory Panel review 6/24/2005. Reordered Policy Sections. Under "Policy" section changed statement to indicate that Percutaneous Lumbar Discectomy is now considered investigational. In "Section I – Intradiscal Electrothermal Annuloplasty" added statement in description, "The Oratec SpineCath System is the device used in this procedure." Added rationale under "Policy Guidelines" section. Removed HCPCS S2370 and S2371 which were deleted in 2004. In "Section II – Nucleoplasty", revised description. Added rationale to "Policy Guidelines" section. In "Section IV – Percutaneous Lumbar Discectomy" revised description. Removed previous criteria in the "When covered" section and changed to "Not applicable". Under "When Percutaneous Lumbar Discectomy is not covered" removed previous text and added statement, "Percutaneous lumbar discectomy is considered investigational as a technique of intervertebral disc decompression in patients with back pain related to disc herniation in the lumbar, thoracic, or cervical spine." Added rationale under "Policy Guidelines". References added. Notice given 8/4/05. Effective date of policy is 10/6/2005.