Medical Policy Updates

Guideline Update For October 1, 2022

MCG Guidelines adopted in total. Guideline updates for effective date 10/1/22. The guidelines can be viewed by logging in to the MCG Cite Guideline Transparency (CGT) Portal.

  • Cervical Diskectomy or Microdiskectomy, Foraminotomy, Laminotomy ISC: S-310
  • Cervical Fusion, Anterior ISC: S-320
  • Cervical Fusion, Posterior ISC: S-330
  • Cervical Laminectomy ISC: S-340
  • Removal of Posterior Spinal Instrumentation ISC: S-530
  • Lumbar Diskectomy, Foraminotomy, or Laminotomy ISC: S-810
  • Lumbar Laminectomy ISC: S-830