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Papers of the Week

2022 Oct 20

Int J Spine Surg

ISASS Policy Statement 2022: Literature Review of Intraosseous Basivertebral Nerve Ablation.


Lorio M, Clerk-Lamalice O, Rivera M, Lewandrowski K-U
Int J Spine Surg. 2022 Oct 20.
PMID: 36266051.


The index 2020 ISASS Guideline Statement "Intraosseous Ablation of the Basivertebral Nerve for the Relief of Chronic Low Back Pain" was generated in response to growing requests for background, supporting literature, evidence, as well as proper coding for intraosseous basivertebral nerve ablation. Since the guideline was published, the American Medical Association has added Current Procedural Terminology category I codes for basivertebral nerve ablation: 64628 and 64629. Additionally, the has recognized a need for greater specificity in differentiating various types of low back pain and has designatedthe code M54.51, vertebrogenic low back pain, to ensure correct diagnosis. The timing of these additions provides an opportunity to refresh the ISASS Guideline to ensure proper diagnosis and procedural coding and to update the supporting literature and evidence.