BSC NIA CG 304 Lumbar Spine Surgery
BSC_NIA_CG_304 Lumbar Spine Surgery Original Policy Date: January 1, 2017 Effective Date: March 1, 2021 Section: 7.0 Surgery Page: Page 1 of 27 . Policy Statement . INDICATIONS FOR LUMBAR SPINE SURGERY: Lumbar Discectomy/Microdiscectomy: Surgical indications for inter-vertebral disc herniation*: • When . ALL . of the following are present: ................
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