Aetna revises lumbar disc replacement policy

After a recent class action settlement Aetna has revised Clinical Policy Bulletin #0591 – Intervertebral Disc Prosthesis.  The review dated 2/8/2023 now allows for FDA approved total disc implant (CPT code 22857) for lumbar degenerative disc disease (ICD codes M51.36-M51.37) at one level.  The patient must meet certain criteria as listed in the policy.  Previously this procedure was considered experimental/investigational.  The policy can be found at

Doreen Clark, CPC, CPMA

Medical Auditing Division Manager

For more information and application instructions for the Phase 3 General Distribution of Provider Relief Fund go to