Appendix E - National Coverage Determinations Manual / Lumbar Artificial Disc Replacement (LADR)

Why This Topic Matters

Coverage status for this spinal procedure changed over time and depends on both the date of service and patient age. Understanding the policy helps avoid claim errors and supports correct interpretation of Medicare coverage responsibility.

Article Sections

1. A. General

   Provides a high-level overview of the lumbar spine procedure and its clinical purpose within the Medicare policy context.

2. B. Nationally Covered Indications

   States whether any national covered indications are established in the policy.

3. C. Nationally Non-Covered Indications

   Summarizes the noncoverage policy, including the time periods and patient population categories addressed by CMS.

4. D. Other

   Describes additional coverage considerations, including the role of local contractors and investigational device exemption coverage for certain dates of service.