Is disc replacement surgery covered by Medicare?
Disc replacement is an option for certain patients when non- surgical measures have failed to resolve or reduce symptoms. The Medicare Benefits Schedule has approved lumbar disc arthroplasty since 2006.
How much does disc replacement cost?
If you need to pay for it yourself, the surgery will typically cost about $35,000. 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.
How long does an artificial disc replacement last?
The average age of a patient needing a lumbar disc replacement is about 35 years. This means that to avoid the need for revision surgery , the artificial disc must last at least 50 years.
What is the success rate of disc replacement surgery?
The authors reported a clinical success rate as defined by the FDA (≥ 15-point improvement in ODI, freedom from device failure or serious device-related adverse events, maintenance/improvement in neurological status) of 87.5% and a return to work rate of 75.9% . No device failure or major complications were noted.
What insurance covers 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.
How much does a lumbar disc replacement surgery cost?
Lumbar Disc Replacement Surgery: What does it cost? As with most types of surgeries, the cost of anterior disc replacement (ADR) surgery will vary depending on where you live. On average it costs about $45,000 , but in areas like New York or Boston it is closer to $100,000 —about 80-85% of the cost of a spinal fusion.
Is disc replacement better than fusion?
Lumbar disc replacement , a similar procedure that replaces the discs in the lower back, also has a faster recovery time than fusion . A study published in Global Spine Journal found that disc replacement patients were able to return to work significantly faster than fusion patients.
Who is a candidate for disc replacement?
In general, lumbar disk replacement surgery might be recommended if: Your back pain mostly comes from only 1 or 2 disks in your lower spine . You have no significant joint disease or compression on the nerves of your spine . You are not excessively overweight.
Is disc replacement surgery successful?
Disc replacement has a higher success rate for reduced lower back pain and increased mobility. Disc replacement surgery is similar to the lumbar fusion procedure because it is a motion-sparing technique that aims to resolve vertebrae injury. Artificial disc replacement may be the right choice for you.
Can you have an MRI after artificial disc replacement?
Most lumbar artificial discs are still composed of stainless steel alloys, which prevents adequate postoperative diagnostic imaging of the operated region when using magnetic resonance imaging ( MRI ).
Is artificial disc replacement safe?
There are a few potential concerns, however. While artificial discs appear safe when used in experienced hands, they are not for everyone. Patients with multi-level lumbar pathology are less likely to benefit than patients with one-level of lumbar disc degeneration.
Is cervical disc replacement a major surgery?
Cervical disc replacement surgery is major surgery requiring a hospital stay. As with any major surgery , you should expect some discomfort and a period of rehabilitation.
What happens after cervical disc replacement?
There is usually some pain and discomfort in the days and weeks following cervical artificial disc replacement (ADR) surgery. Most commonly, the recovering patient has some pain and soreness at the incision site at the front of the neck . Other symptoms may also be present, such as trouble with swallowing or speaking.
How long does it take to recover from a disc surgery?
Most people can return to their usual activities around 4 weeks after herniated disc surgery. People who follow a rehabilitation program after surgery may experience a shorter recovery time and better mobility.
Is artificial disc replacement FDA approved?
Currently, the artificial disc replacement is only FDA – approved in the United States for use in the lumbar (low back) region, although many products are currently being studied for use in the cervical (neck) region.