Site Alert

The Provider Directory has been restored, but has limited functionality. We are working to repair the missing features. We apologize for the inconvenience.

Artificial Disc Replacement (ADR)* - Re-review

* Artificial Disc Replacement is the same as Total Disc Arthroplasty (TDA)

Artificial disc replacement is a potential alternative procedure to cervical fusion in patients with radiculopathy and/or myelopathy secondary to degenerative disc disease. The most recent evidence, however, does not favor ADR as a treatment for lumbar degenerative disc disease.

Coverage decisions: Lumbar ADR and Cervical ADR (Effective date: June 1, 2017)

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

 

End of main content, page footer follows.

Access Washington official state portal

   © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.

Help us improve