Reimbursement

Total disc replacement is a new treatment that insurance companies (third party payors) are just beginning to recognize. Many insurance companies do not have a standard policy for covering total disc replacement procedures, so physicians and patients may be required to petition these companies to cover the procedure.

Synthes Spine operates a toll free ProDisc hotline staffed with trained reimbursement specialists to assist both physicians and patients through the payment process.

In addition, instructions for requesting coverage for total disc replacement surgery and sample letter templates that can be modified and sent to insurance companies to request coverage are provided below.

ProDisc Lumbar ProDisc Cervical         Surgeon Resources Surgeon Resources   Physician Billing Guide Physician Billing Guide   Letter of Medical Necessity Letter of Medical Necessity   Physician Appeal Letter Physician Appeal Letter         Hospital Resources Hospital Resources   Hospital Billing Guide Hospital Billing Guide         Patient Resources Patient Resources   Patient Reimbursement Information Patient Reimbursement Information   Patient Appeal Letter Patient Appeal Letter   Patient Log Patient Log       Disclaimer: All billing and coding information contained herein is for informational purposes only. Synthes Spine makes no claims of correctness, warranty, guarantee or assertion that the information will assure payment. We strongly urge you to consult the payer to determine the requirements for reimbursement for disc arthroplasty.