Lumbar fusion (arthrodesis)
Authorization requirements
Is authorization required? |
How do I get pre-authorization? |
|
Yes |
L&I (State fund): |
Self-insured: |
Related information on coverage and treatment
- Coverage Decision: Lumbar Fusion for Patients with Uncomplicated Degenerative Disc Disease.
- Medical treatment guidelines:
Please note that the following two guidelines are different. The first one will expire on March 6, 2016. The second one, effective March 7, 2016, is a revised version based on the above coverage decision.
Lumbar Fusion Guideline (arthrodesis) (Effective Date: November 1, 2009 - March 6, 2016).- Lumbar Fusion Guideline (arthrodesis) (Effective Date: March 7, 2016).
Regulatory authority and related information
- RCW 70.14.080 through 70.14.130
- Health Technology Assessment Program
- Treatment requiring authorization. WAC 296-20-01002.
- Utilization review. WAC 296-20-024.
- Medical coverage decisions. WAC 296-20-02700-02850.
