Anthem Blue Cross Connecticut DME.00025 Self-Operated Spinal Unloading Devices Form
Procedure is not covered
This document addresses self-operated spinal unloading devices, which are designed to support the upper body’s weight and transfer that weight to the hips via a mechanical or pneumatic mechanism. Self-operated spinal unloading has been suggested as a conservative treatment for pain related to spinal disc disease or joint dysfunction. Several self-operated spinal unloading devices are currently available on the market, such as the LTX 3000™ and the Lumbar Hometrac®.
Position Statement
Investigational and Not Medically Necessary:
Self-operated spinal unloading devices including, but not limited to, gravity-dependent and pneumatic devices, are considered investigational and not medically necessary for all indications including, but not limited to, the treatment of low back pain and scoliosis.