CMS Rules PILD Will Only Be Covered In Clinical Trials



CMS Rules PILD Will Only Be Covered In Clinical Trials


The Centers for Medicare & Medicaid Services (CMS) has spoken: Its Jan. 9 Coverage with Evidence Development (CED) decision for percutaneous image-guided lumbar decompression (PILD) for lumbar spinal stenosis (LSS) means that for the foreseeable future, PILD will only be covered in the context of research studies.

The decision stipulates that new, robustly designed, randomized controlled trials must address whether PILD significantly improves function and/or quality of life and reduces pain compared with other treatments, and also whether it positively affects the overall management and clinical design making for patients with LSS.

“We recognize that LSS is a real and important source of pain and functional limitation for patients, and that the development of effective minimally invasive procedures could have a potential place in the treatment armamentarium,” an individual who asked to be identified as a CMS official told Pain Medicine News. 

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