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?


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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