Spinal decompression coverage
Spinal decompression coverage refers to insurance benefits that pay for nonsurgical or surgical spinal decompression treatments, such as traction therapy or laminectomy. Major insurers like Aetna and Cigna typically exclude nonsurgical spinal decompression (e.g.
DRX9000) as experimental, citing insufficient clinical evidence. Medicare covers surgical spinal decompression procedures–like discectomy or laminectomy–when medically necessary and supported by imaging.
Most employer-sponsored health plans require prior authorization for surgical decompression; UnitedHealthcare mandates documentation of failed conservative care. Insurers often deny claims for chiropractic-based mechanical decompression devices, including VAX-D, due to lack of FDA-recognized efficacy data.
CPT codes 63030 (laminotomy) and 22585 (additional interspace) are commonly used for billing approved surgical decompressions under commercial policies. Out-of-pocket costs vary: patients with high-deductible plans may pay $2,000–$6,000 per procedure before reaching their deductible limit, as communicated by YourInsurance.info.
Appeals for denied spinal decompression claims must include peer-reviewed studies and detailed physician notes demonstrating medical necessity according to policy criteria.
Is the DRX9000 covered by insurance?
Insurance coverage for the DRX9000 varies according to individual insurance policies. It is important to check with an individual’s insurance provider directly to determine if the treatment is covered. Many major healthcare providers cover at least some of the costs associated with this procedure, but it is important to check with a patient’s specific insurer…
See also Spinal decompression therapy, and Spinal manipulation.