Dynesys® Dynamic Stabilization System
Overview
The Dynesys Dynamic Stabilization System (Dynesys System) Reimbursement Kit is intended to provide reference material related to general guidelines for the reimbursement of the Dynesys System when used consistently with product's labeling. The reimbursement Kit includes information regarding coverage, coding and payment as well as guidance regarding insurance verification, prior-authorizations and appeals.
Zimmer offers additional reimbursement resources and tools for orthopedic products and procedures including the Zimmer Reimbursement Hotline, which provides live coding and reimbursement information via dedicated reimbursement specialists. Hotline support is available 9 am to 8 pm eastern, Monday through Friday, at (866) 946-0444.
All Zimmer reimbursement resources referenced above also are available at our web site: www.reimbursement.zimmer.com.
Product Description
The Dynesys Dynamic Stabilization System uses three proprietary components to stabilize the spine as an adjunct to fusion:
- Titanium screws anchor the system to the spine
- Polycarbonate urethane spacers limit spinal extension
- Polymer cord acts as a tension band to limit spinal flexion
The system is placed under tension creating a dynamic interaction between these components. When the patient bends forward, the cord engages and acts as a tension band and overall flexion is limited. When the patient bends backwards, the screw heads interact with the spacer, the spacer resists the compressive load and overall extension is limited.
Patient Indications Summary
When used as a pedicle screw fixation system in skeletally mature patients, the Dynesys System is intended to provide immobilization and stabilization of spinal segments as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the thoracic, lumbar, and sacral spine: degenerative spondylolisthesis with objective evidence of neurologic impairment, and failed previous fusion (pseudoarthrosis).
In addition, when used as a pedicle screw fixation system, the Dynesys System is indicated for use in patients:
- Who are receiving fusions with autogenous graft only;
- Who are having the device fixed or attached to the lumbar sacral spine; and
- Who are having the device removed after the development of a solid fusion mass.
The Dynesys Dynamic Stabilization System, when used as a pedicle
screw fixation system, combines the surgical approach of traditional fusion
with the philosophy of dynamic stabilization using flexible materials to
stabilize the spine while preserving the anatomical structures. The result
is a dynamic stabilization system that allows the surgeon to preserve much
of the spinal anatomy.
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Reimbursement Kit Chapters
Payer Coverage
Insurance Verification Process
Prior Authorization Process
Coding Guidance
Appeals
FAQs
Sample Letters
Dynesys® Dynamic Stabilization System - Disclaimer
The information presented in this reimbursement kit is intended for informational purposes only, and nothing herein is advice, legal advice or a recommendation of any kind, and it should not be considered as such. The coding and coverage information in this reimbursement kit was obtained from third party sources and is subject to change without notice, including as a result in changes in reimbursement laws, regulations, rules and policies. Reimbursement kit content is information only, general in nature, and does not cover all situations or all payers' rules or policies, and is not intended to apply to any particular situation. The service and the product must be reasonable and necessary for the care of the patient to support reimbursement. Providers should report the procedure and related codes that most accurately describe the patient's medical condition, procedures performed and the products used. The information presented in this reimbursement kit represents no promise or guarantee from Zimmer regarding coverage or payment for products or procedures by Medicare or other payers. Providers should check Medicare bulletins, manuals, program memoranda, and Medicare guidelines to ensure compliance with the Medicare requirements. Inquiries can be directed to the hospital's MedicarePark A fiscal intermediary, the physician's Medicare Part B carrier, the applicable Medicare Administrative Contractor (MAC), or to appropriate payers. Zimmer specifically disclaims liability or responsibility for the results or consequences of any actions taken in reliance on information presented in this reimbursement kit.
