Feb 21, 2024   SOURCE: PR NewsWire

Coverage Expansion Continues for One- and Two-level Lumbar Total Disc Replacement as the Top Commercial Payer in Tennessee Establishes Positive Coverage for Centinel Spine's prodisc® L

    --  The largest commercial payer in Tennessee, representing 2.3 million
        covered lives, has established positive coverage--effective March 1,
        2024--for both one- and two-level lumbar total disc replacement (TDR)
        procedures, which includes prodisc® L.


    --  With this positive coverage update in Tennessee, it is estimated that
        one-level lumbar TDR coverage is approaching 94%* of
        commercially-covered lives in the U.S., while two-level coverage
        continues to build with over 30% of U.S. covered lives.
    --  Centinel Spine's prodisc L is the only lumbar TDR system in the U.S.
        approved for one- and two-level use in the lumbar spine.

WEST CHESTER, Pa., Feb. 21, 2024 /PRNewswire/ -- Centinel Spine®, LLC ("the Company"), the leading global medical device company focused exclusively on treating cervical and lumbar spinal disease with the most complete and clinically-proven total disc replacement (TDR) technology platform in the world (prodisc®), today announced significant expansion of coverage for lumbar TDR procedures in Tennessee.

The policy expansion announced by Tennessee's largest commercial payer--effective March 1, 2024--represents over 2.3 million covered lives across the state and includes a positive coverage recommendation for both one- and two-level lumbar TDR. Because prodisc L is the only lumbar TDR device with FDA approval for two-level use, the two-level coverage recommendation only applies to the use of the prodisc L lumbar device.

This major positive coverage update continues the trend toward significant coverage for one- and two-level lumbar TDR. In August 2023, the largest payers in Illinois, New Mexico, Oklahoma, and Texas--representing over 16 million covered lives--adopted Carelon's Clinical Appropriateness Guidelines-Musculoskeletal Spine Surgery Criteria, which deems one- and two-level lumbar TDR medically necessary. In September 2023, the largest commercial payer in Michigan added one- and two-level lumbar TDR coverage, providing 5.7 million covered lives with access to lumbar TDR. Then, in October 2023, the largest commercial payer in North Carolina adopted Carelon's Clinical Appropriateness Guidelines-Musculoskeletal Spine Surgery Criteria for lumbar TDR, as well--adding another 2.8 million covered lives.

With this favorable coverage expansion in Tennessee, it is estimated that coverage for one-level lumbar TDR has grown from 50% of covered lives in 2017 to now approaching 94%* today--and that over 30% of commercially-covered lives in the U.S. now have access to two-level lumbar TDR, as well.

Centinel Spine CEO Steve Murray shared, "The top commercial payer in Tennessee has now provided much needed one- and two-level lumbar total disc replacement access to a significant number of individuals. We have seen an acceleration of positive lumbar disc replacement coverage over the last 6 months. This is good for patients, and we believe this trend will continue as other payers recognize the clear and published clinical benefits of the total disc replacement procedure."

* Data of file, estimate based on combined positive and neutral policies.

About Centinel Spine, LLC

Centinel Spine®, LLC is the leading global medical device company exclusively focused on addressing cervical and lumbar spinal disease with prodisc®, the most complete total disc replacement (TDR) technology platform in the world.

The Company's prodisc technology is the most studied and clinically-proven TDR system across the globe, validated by over 540 published papers and more than 250,000 implantations. Centinel Spine's prodisc is the only TDR technology with multiple motion-preserving anatomic solutions, allowing the surgeon to Match-the-Disc((TM)) to each patient's anatomy for both cervical and lumbar total disc replacement.

For more information, please visit the company's website at www.CentinelSpine.com or contact:

Varun Gandhi
Chief Financial Officer
900 Airport Road, Suite 3B
West Chester, PA 19380
Phone: 484-887-8871
Email: v.gandhi@centinelspine.com

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SOURCE Centinel Spine, LLC