Guidelines for X-Stop Device: What are the criteria for coverage of this procedure?
This procedure is covered for patients ages 50 and above who have a diagnosis of lumbar stenosis and have undergone six months’ of nonoperative treatment without improvement. The first level would be billed for using CPT code 0171T. If medically necessary for the individual patient, one additional level may be paid using code 0172T. These claims are carrier-priced; and therefore, each claim is considered on a case-by-case basis. Therefore, if on initial claim submission, if the patient has met the age and diagnosis criteria, providers will be sent a request for documentation to determine if the other criteria have been met. Date Posted: 6/27/2007 • Guidelines for physician supervised weight loss prior to Bariatric Surgery: What documentation is required to be in the chart of patients undergoing weight loss surgery to show they have participated in a supervised weight loss program? We would expect that the medical record reflect at least three failed attempts to lose weight on a supervi
