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AANS and CNS Express Concern with Noridian’s Percutaneous Vertebral Augmentation Policy

On March 30, the AANS and the CNS joined 12 specialty society members of the Multispecialty Pain Workgroup (MPW) in submitting comments to Noridian regarding its Local Coverage Determination (LCD) for Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture. The letter suggested that the Medicare Administrative Contractor (MAC) revise the LCD, expressing concern about several issues, including the policy to exclude from coverage all fractures over six weeks old. Similar letters were sent earlier this year to the other six MACs.