About Coverage Recommendations


Based on increasing demand and requests from interested parties, NASS is now offering this valuable resource in a user-friendly individual chapter format! NASS Coverage Recommendations are offered at no cost to NASS members and payors and for $395 per chapter for non-members.

Overview

As part of its mission to foster the highest quality, evidence-based and ethical spine care, NASS continues to develop credible and reasonable coverage recommendations to assist payors, providers, and patients in defining appropriate and fair coverage decisions. NASS evidence-based coverage recommendations are developed to advocate for NASS’ positions on various clinical and practice issues to ensure continued provision of quality spine care.

Methodology

To develop these first-of-their kind coverage recommendations, NASS’ multi-disciplinary team of spine specialists systematically reviews available scientific literature. Searches are limited to systematic reviews, meta-analyses, clinical guidelines, and most importantly, randomized controlled trials. Using an evidence-based approach when possible, the team works together to develop the recommendations. In the absence of high-level data, NASS coverage recommendations reflect the multi-specialty experience and expertise of the committee members in order to present reasonable standard practice indications in the United States. Click here to access NASS’ Coverage Recommendations Methodology!

Access Instructions

NASS Wants to Hear From You!

The NASS Coverage Committee extends its sincere appreciation for the overwhelmingly positive feedback we received on our previously published coverage policy recommendations. These helpful comments and suggestions help us better represent the needs of our members and achieve our mission of promoting ethical and evidence-based spine care.

We would like to keep this valuable exchange of ideas flowing by offering a 30-day public comment period on our latest coverage policy recommendation on Sacroiliac Joint Injections & Radiofrequency Ablation. NASS encourages interested parties to email any comments to this proposed document by April 24, 2020. At the end of the public comment period, comments will be reviewed and considered by the NASS Coverage Committee. Where appropriate, the Committee will make edits and then publish the final coverage recommendations below.

Proposed Coverage Policy Recommendations

Current Coverage Policy Recommendations

Topics Last Publication Date
Allograft and Demineralized Bone Matrix for Spinal Fusion Member: $0.00
Non-Member: $395.00
Cervical Artificial Disc Replacement Member: $0.00
Non-Member: $395.00
Cervical Fusion Member: $0.00
Non-Member: $395.00
Cervical Laminoplasty Member: $0.00
Non-Member: $395.00
Coccygectomy Member: $0.00
Non-Member: $395.00
Discography Member: $0.00
Non-Member: $395.00
DNA-Based Scoliosis Test Member: $0.00
Non-Member: $395.00
Electrical Stimulation for Bone Healing Member: $0.00
Non-Member: $395.00
Endoscopic Decompression Member: $0.00
Non-Member: $395.00
Epidural Steroid Injection and Selective Spinal Nerve Blocks Member: $0.00
Non-Member: $395.00
Facet Joint Interventions Member: $0.00
Non-Member: $395.00
Interspinous Device Without Fusion Member: $0.00
Non-Member: $395.00
Interspinous Fixation with Fusion Member: $0.00
Non-Member: $395.00
Intrathecal Drug Delivery Systems Member: $0.00
Non-Member: $395.00
Laser Spine Surgery Member: $0.00
Non-Member: $395.00
Lumbar Artificial Disc Replacement Member: $0.00
Non-Member: $395.00
Lumbar Discectomy Member: $0.00
Non-Member: $395.00
Lumbar Fusion Member: $0.00
Non-Member: $395.00
Lumbar Interspinous Device without Fusion and with Decompression Member: $0.00
Non-Member: $395.00
Lumbar Laminectomy Member: $0.00
Non-Member: $395.00
Lumbar Laminotomy Member: $0.00
Non-Member: $395.00
Percutaneous Sacroiliac Joint Fusion Member: $0.00
Non-Member: $395.00
Percutaneous Thoracolumbar Stabilization Member: $0.00
Non-Member: $395.00
Recombinant Human Bone Morphogenetic Protein (rhBMP-2) Member: $0.00
Non-Member: $395.00
Sacroiliac Joint Injections Member: $0.00
Non-Member: $395.00
Spinal Cord Stimulation Member: $0.00
Non-Member: $395.00
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Disclaimers


NASS Coverage Recommendations Disclaimers:

  • The North American Spine Society Coverage Recommendations are developed to assist payers, providers and patients in determining whether medical services and procedures should be covered for payment based on review of the best available clinical evidence and the expert opinion of committee members.
  • NASS coverage recommendations are reviewed and updated periodically and are therefore subject to change.
  • These materials are for the member or purchaser's own personal use, and may not be distributed further or modified in any way without the express permission of NASS. If materials are reproduced, transmitted, distributed or duplicated in accordance with the member or purchaser's own personal use, the materials must be reproduced, transmitted, distributed or duplicated in their entirety.

Translation Disclaimer:

  • Coverage recommendations may be reprinted and translated with the permission of NASS. NASS does not verify, certify and is not responsible for the accuracy of any translations, and has advised any parties translating the NASS coverage recommendations to carefully verify the accuracy of their translations prior to publication and dissemination.
  • In addition, NASS asks that any prospective translator complete the coverage recommendations translation record and send a copy to NASS to keep on file so that NASS may track all translations, appropriately direct individuals to translations of interest and notify translators of content updates and revisions.

Comments


Comments regarding the coverage recommendations may be submitted to the North American Spine Society and will be considered in development of future revisions of the work.