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Artificial disc replacement (ADR)*

* Artificial Disc Replacement is a synonym of Total Disc Arthroplasty (TDA)

Artificial disc replacement is a potential alternative to spinal fusion in patients with radiculopathy and/or myelopathy secondary to degenerative disc disease.

Coverage decision: Covered with conditions (Effective date: January 1, 2015)

Authorization requirements


Is authorization required?

How do I get pre-authorization?

Yes

L&I (State fund):
Utilization Review provided by Qualis

Self-insured: Contact the employer or its third party administrator

 

 

Regulatory authority and related information

 

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