Lumbar Artificial Disc Replacement (LADR)
The August 14, 2007, CMS Decision Memo reported insufficient scientific evidence to support LADR as a reasonable and necessary service for Medicare beneficiaries over 60 years of age.
Due to the limited size and scope of current studies and to maintain consistency within the Medicare population, Palmetto GBA has determined the current scientific evidence does not support the use of LADR in beneficiaries under 60 years of age.
Therefore, until more conclusive results document the safety and efficacy of this service, Palmetto GBA will not reimburse LADR services.
Reference: Lumbar Artificial Disc Replacement (LADR) (150.10)