Coverage Recs

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$395 for Non-members

The NASS Coverage Recommendations are offered in a user-friendly individual chapter format at no cost to NASS Members and payors. Members can login for access to the documents below.

About Our Approach

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.


To develop these first-of-their kind coverage recommendations, NASS’ multidisciplinary 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 multispecialty experience and expertise of the committee members in order to present reasonable standard practice indications in the United States.


Allograft and Demineralized Bone Matrix for Spinal Fusion October 2017
Basivertebral Nerve Ablation February 2023
Cervical Artificial Disc Replacement February 2024
Cervical Fusion May 2023
Cervical Laminectomy & Laminoplasty September 2023
Coccygectomy October 2016
Discography October 2019
DNA-Based Scoliosis Test August 2016
Electrical Stimulation for Bone Healing October 2016
Endoscopic Decompression February 2019
Epidural Steroid Injection and Selective Spinal Nerve Blocks February 2020
Facet Joint Interventions October 2016
Interspinous Device Without Fusion May 2014
Interspinous Fixation With Fusion December 2019
Intrathecal Drug Delivery Systems March 2017
Laser Spine Surgery May 2014
Lumbar Artificial Disc Replacement February 2019
Lumbar Decompression: Laminectomy, Laminotomy & Foraminotomy January 2022
Lumbar Discectomy December 2019
Lumbar Fusion June 2021
Lumbar Interspinous Device without Fusion and with Decompression May 2018
Minimally Invasive Sacroiliac Joint Fusion September 2021
Percutaneous Thoracolumbar Stabilization May 2014
Recombinant Human Bone Morphogenetic Protein (rhBMP-2) May 2014
Sacroiliac Joint Injections and Radiofrequency Ablation October 2020
Spinal Cord Stimulation October 2017
Synthetics June 2023
Vertebral Augmentation March 2023