General Guideline Principles for Disc Replacement
for workers compensation patients
The New York State workers compensation board has developed these guidelines to help physicians, podiatrists, and other healthcare professionals provide appropriate treatment for Disc Replacement.
These Workers Compensation Board guidelines are intended to assist healthcare professionals in making decisions regarding the appropriate level of care for their patients with ankle and foot disorders.
The guidelines are not a substitute for clinical judgement or professional experience. The ultimate decision regarding care must be made by the patient in consultation with his or her healthcare provider.
Disc Replacement of of Therapeutic Procedures: Operative
Replacement of artificial discs is not among the pre-authorized treatments. Providers who wish to carry out one of these operations must first submit a preauthorization request to the carrier.
- Disc Replacement of Therapeutic Procedures: Operative
Disc Replacement of Therapeutic Procedures: Operative is recommended in select patients as clinically indicated.
Indications: for radiculopathy associated with lumbar degenerative disc degeneration at one level that is resistant to conservative treatment.
The following criteria must be met:
- Patient with mature skeleton who is not suffering from kidney failure, severe diabetes, osteoporosis, severe spondylosis, severe facet pathology, lumbar instability, localised fractures, or systemic or localised infections
- Imaging tests such a CT or MRI with one of the following diagnosis for L3 to S1 single-level disc degeneration:
- Herniated disc
- Osteophyte formation
- Loss of disc height
- The patient must exhibit symptoms that are consistent with the level of disc replacement planned.
- Intractable radiculopathy (nerve root compression) and/or myelopathy (functional disturbance or pathological change in the spinal cord) causing radicular pain in the lower extremity; or
- Functional and/or neurological deficit.
- Six weeks of non-operative alternative treatments have failed.
Physical therapy, drugs, braces, chiropractic care, bed rest, spinal injections, or exercise regimens are all examples of possible therapies. It is necessary to keep track of therapies and failures to improve.
The U.S. Food and Drug Administration must certify the disc (FDA). All more artificial disc systems are regarded as investigational and experimental.
The term “experimental” and “investigational” are used to describe all other indications, including multilevel degenerative disc degeneration.
Not Recommended – since the replacement discs’ security and efficiency for patients with the following disorders are unknown:
- Prior surgical procedure at the concerned level
- An earlier or planned fusion at a nearby lumbar level
- Replacement of artificial discs at many lumbar levels
- Clinically impaired vertebral bodies at the afflicted level as a result of recent or previous trauma (including, but not limited to, fracture callus, malunion, or nonunion as seen on radiographs).
- An infection that is present throughout the body or at the site of surgery
- Remains of polyurethane, titanium, or ethylene oxide allergy
- A DEXA bone mineral density T score is used to diagnose osteoporosis.
greater than or equal to -2.5.
What our office can do if you have workers compensation Disc Replacement
We have the experience to help you with their workers compensation injuries. We understand what you are going through and will meet your medical needs and follow the guidelines set by the New York State Workers Compensation Board.
We understand the importance of your workers compensation cases. Let us help you navigate through the maze of dealing with the workers compensation insurance company and your employer.
We understand that this is a stressful time for you and your family. If you would like to schedule an appointment, please contact us so we will do everything we can to make it as easy on you as possible.
Call Us Now!
NY MTG for Mid and Low Back
- General Guideline Principles for Vertebroplasty and Kyphoplasty for workers compensation patients
- General Guideline Principles for Therapy – Ongoing Maintenance Care for workers compensation patients
- General Guideline Principles for Spinal Fusion for workers compensation patients
- General Guideline Principles for Sacroiliac Surgery for workers compensation patients
- General Guideline Principles for Rehabilitation for workers compensation patients
- General Guideline Principles for Radiofrequency Ablation, Neurotomy, Facet Rhizotomy for workers compensation patients
- General Guideline Principles for Other Tests / Procedures of Mid and Low Back Injury for workers compensation patients
- General Guideline Principles for Medications for workers compensation patients
- General Guideline Principles for Laboratory Testing of Mid and Low Back Injury for workers compensation patients
- General Guideline Principles for Intraoperative Monitoring / Image Guidance / Robotic Surgery for workers compensation patients
- General Guideline Principles for Imaging Studies of Mid and Low Back Injury for workers compensation patients
- General Guideline Principles for Imaging / Anatomical Tests of Mid and Low Back Injury for workers compensation patients
- General Guideline Principles for Injections: Therapeutic Spinal for workers compensation patients
- General Guideline Principles for History Taking and Physical Examination of Mid and Low Back Injury for workers compensation patients
- General Guideline Principles for History Taking and Physical Examination of Mid and Low Back Injury for workers compensation patients
- General Guideline Principles for Mid and Low Back Injury for workers compensation patients
- General Guideline Principles for Follow-Up Diagnostic Imaging and Testing Procedures of Mid and Low Back Injury for workers compensation patients
- General Guideline Principles for Electrical Therapies for workers compensation patients
- General Guideline Principles for Electrical Bone Growth Stimulators for workers compensation patients
- General Guideline Principles for Discectomy, Microdiscectomy, Sequestrectomy, Endoscopic Decompression for workers compensation patients
- General Guideline Principles for Disc Replacement for workers compensation patients
- General Guideline Principles for Decompressive Surgery (Laminotomy / Facetectomy Laminectomy for workers compensation patients
- General Guideline Principles for Bed Rest for workers compensation patients
- General Guideline Principles for Appliances for workers compensation patients
- General Guideline Principles for Acupuncture for workers compensation patients
Workers Compensation
- Workers Comp Main Hub
- Workers Comp FAQs
- Medical Treatment Guidelines (MTGs)
- COVID-19 and Workers’ Compensation
- Workers’ Compensation Provider Billing FAQs
- Settling Your Workers’ Compensation Claim
- Short-Term Disability Workers’ Compensation Patients and Paid Family Leave
- The Role of Medical Providers in Workers’ Compensation
- When Should Employers Purchase Workers’ Compensation Insurance?
- Workers’ Compensation Injury Billing Forms
- Workers’ Compensation Insurance: What a Business Owner Needs to Know
- Scheduled Loss of Use
- Scheduled Loss of Use for Hand and Wrist
- Scheduled Loss of Use for Ankle and Foot
- Scheduled Loss of Use for Elbow
- Scheduled Loss of Use for Great and Lesser Toes
- Scheduled Loss of Use for Determining Hip and Femoral Impairment
- Scheduled Loss of Use for Knee and Tibia
- Scheduled Loss of Use for Shoulder
- Scheduled Loss of Use for Upper Extremities – Thumb and Fingers
- Scheduled Loss of Use for Visual System/Auditory System/Facial Scars and Disfigurement
- Scheduled Loss of Use for Central Nervous System Conditions, Peripheral Nerve Injuries and Entrapment / Compression Neuropathies
- Workers’ Compensation Fraud
- Workers’ Compensation State Laws
- Workers’ Compensation Pays Primary to Medicare When a Medicare Beneficiary Has a Work-Related Medical Claim
- Workers’ Compensation Origin
- Workers’ Compensation Issues of Concern, Clinical Significance and Enhancing Healthcare Team Outcomes
- Workers’ Compensation History in the United States
- The Effect of Workers’ Compensation Status on the Patient Experience
Disclaimer
Complete Orthopedics is a medical office and we are physicians . We are not attorneys. The information on this website is for general informational purposes only.
Nothing on this site should be taken as legal advice for any individual case or situation. The information posted is not intended to create, and receipt or viewing does not constitute, an attorney-client relationship or a doctor-patient relationship nor shall the information be used to form an legal or medical opinions.
You should not rely on any of the information contained on this website. You should seek the advice of a lawyer or physician immediately for more accurate information surrounding any legal or medical issues.
This information has been posted for informational and/or advertisement purposes only. You consent to these terms and conditions by using our website
I am fellowship trained in joint replacement surgery, metabolic bone disorders, sports medicine and trauma. I specialize in total hip and knee replacements, and I have personally written most of the content on this page.
You can see my full CV at my profile page.