SURG.00111 Axial Lumbar Interbody Fusion Form
Procedure is not covered
This document addresses axial or presacral lumbar interbody fusion, a minimally invasive technique in which anterior access to the L4-S1 disc spaces is used for interbody fusion to minimize damage to muscular, ligamentous, neural, and vascular structures. It is performed under fluoroscopic guidance using specialized instrumentation.
Position Statement
Investigational and Not Medically Necessary:
Axial or presacral lumbar interbody fusion is considered investigational and not medically necessary.
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