Subject: Medical Coverage Policy 0527 Cervical Fusion
Dear Dr. Kessel,
The American Association of Orthopaedic Surgeons (AAOS), American Association of Neurological
Surgeons (AANS), Cervical Spine Research Society (CSRS), Congress of Neurological Surgeons (CNS),
AANS/CNS Joint Section on Disorders of Spine and Peripheral Nerves (DSPN), International Society for
the Advancement of Spine Surgery (ISASS) and North American Spine Society (NASS), appreciate the
opportunity to provide our comments on the Cigna Medical Coverage Policy 0527 Cervical Fusion. The
policy discussion is well done and provides a good review of the extant literature. However, the
recommendations for coverage do not comply with standard spine practices or with the literature
reviewed.
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