ISASS Recommendations and Coverage Criteria for Bone Graft Substitutes Used in Spinal Surgery

Overview

Journal Int J Spine Surg

Date 2019 Jan 9

PMID 30619681

Citations 10

Authors

Celeste Abjornson

Antonio Brecevich

Tucker Callanan

Christina Dowe

Frank P Cammisa

Morgan P Lorio

Affiliations

Soon will be listed here.

Abstract

Autologous bone graft remains the gold standard by which bone graft substitutes are compared in spine fusion surgery. The utilization of bone graft substitutes, either as (1) an extender for spinal fusion constructs or (2) an alternative to minimize morbidity while maximizing outcomes, is changing. Moreover, current procedures technology (CPT) code 20939 became effective in 2018 defining bone marrow aspirate for bone grafting, spine surgery only. Changes in the complex landscape of grafting materials have prompted ISASS to provide category guidance for bone graft substitutes by comparing and contrasting US regulatory pathways, mechanisms of action, and supportive clinical evidence for these bone grafting materials.

Citing Articles

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