What is the prodisc L made of?
The prodisc® L consists of three implant components; two metallic (cobalt-chrome) endplates and a plastic (ultra-high molecular weight polyethylene) inlay.
Does Medicare cover lumbar artificial disc replacement?
History of Medicare Coverage. Medicare does not currently have a national coverage determination (NCD) on lumbar artificial disc replacement. Coverage for the procedure is overseen by local Medicare contractors. Medicare also does not have a NCD for other spinal surgeries for degenerative disc disease.
Who is eligible for artificial disc replacement?
Artificial disc replacement may be recommended for patients between the ages of 18 and 60 with DDD at one or two levels of the spine whose condition has not responded to at least six previous months of non-surgical therapy.
Does Medicare cover cervical disc replacement?
On the national level, cervical artificial disc replacement isn’t covered because Medicare has ruled that the procedure is not medically necessary for people over the age of 60.
Is prodisc l FDA approved?
The prodisc first received FDA approval in 2006. In an April 4, 2020 press release, the company said they are now the only company with an FDA approved lumbar TDR device that has been clinically reviewed and found safe and effective for two level use.
How long do disc replacements last?
For most patients, an artificial disc replacement will last an average of 70 years without the need for a revision artificial disc replacement.
Is herniated disc surgery covered by insurance?
Like any surgical procedure, slipped disc surgery is not free. But, with health insurance, minimally invasive procedures like discectomy, the most common procedure for treating slipped discs, are generally covered.
Is ACDF surgery covered by insurance?
The alternative, ACDF, is usually covered by insurance. Some surgeons are now starting to offer cervical disc replacement in an ambulatory surgery center (ASC), rather than in a hospital.
What is the success rate of disc replacement surgery?
Success rates with fusions performed for degenerative disc disease range in the literature between 65 and 93%. It has become the standard of care for discogenic pain and is often very effective in relieving pain.
What happens after lumbar disc replacement surgery?
As your recovery progresses, you’ll be encouraged to walk and stretch. You’ll need to avoid any jarring activities or motions for quite a while. Your recovery may take from a few weeks to a few months. A lumbar disk replacement generally improves pain, but it does not eliminate it completely.
How much does it cost to repair a herniated disc?
A herniated disc procedure not covered by health insurance generally costs between $20,000 and $50,000 including the surgeon’s fee, anesthesiologist, and facility fee.
Who is not a candidate for disc replacement?
Artificial disc replacement surgery is not recommended in facet joint syndrome. An artificial disc replacement device should also not be used if you have significant osteoporosis or an active infection.
How long will a disc replacement last?
How much does a 2 level ACDF surgery cost?
Results: Two-level CDR had a 7-year cost of $176,654.19, generated 4.65 QALYs, and had a cost-effectiveness ratio of $37,993.53/QALY. Two-level ACDF had a 7-year cost of $158,373.48, generated 4.44 QALYs, and had a cost-effectiveness ratio of $35,635.72.
What is a Pro Disc L?
The pro disc ® L is indicated for spinal disc replacement surgery patients who: Are skeletally mature and have no spinal growth remaining. Have a condition in which pain is caused by wear-and-tear on a spinal disc (Degenerative Disc Disease or DDD) at one or two consecutive levels in the lumbar spine from L3-S1.
How effective is Pro Disc L for degenerative disc disease (DDD)?
A clinical study of the device showed that the pro disc ® L was at least as effective as spinal fusion for treating patients with Degenerative Disc Disease (DDD) for at least five years past treatment. Patients with two-levels of pro disc ® L experienced a lower rate of secondary surgery than two-level spinal fusion patients.
Who is covered by BCBs federal employee program?
In addition, the BCBS Federal Employee Program® insures over five million federal employees, retirees and their families. Our coverage also extends to individuals and employers who live, work and travel internationally, and to those who travel to the United States.
How many lumbar sections can the Pro Disc L be used for?
This approval expands the indication for use of the pro disc ® L to include treatment of up to two consecutive lumbar spinal sections (levels) from L3-S1. How does it work? The pro disc ® L is surgically implanted into the lumbar spine (L3-S1) in patients with degenerative disc disease in one or two consecutive intervertebral level (s).