David E. Mino, MD, MBA
Senior Medical Director
Cigna Healthcare, Clinical Performance and Quality
National Medical Director, Orthopaedic Surgery and Spinal Disorders
150 S. Warner Ave, #310
King of Prussia, PA 19406
SUBJECT: Cigna Coverage Policy for Intraoperative Neurophysiologic Monitoring #0509
Dear Dr. Mino:
On behalf of the American Association of Neurological Surgeons (AANS), the Congress of Neurological Surgeons (CNS) and the AANS/CNS Joint Section on Disorders of the Spine and Peripheral Nerves (DSPN), we would like to take this opportunity to communicate our disagreement with Cigna’s decision to revise its coverage position on intraoperative neurophysiology monitoring (IONM) during cervical spine surgery. Cigna’s policy states that IONM is not considered medically necessary during cervical spinal surgery, except in cases of vertebral or intraspinal tumor, traumatic spine/spinal cord injury with subluxation or dislocation, or surgery of the spinal cord.
Click here to view the full Neurosurgery Reaches out to Cigna Regarding Coverage Policy for Intraoperative Monitoring for Cervical Spine Procedures.
