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Elevate your practice with mild®> Learn More
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Outcomes | mild®® Procedure Video | Training & Education | Reimbursement | FAQ |
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Elevate your practice with mild®> Learn More
EFFICIENT. EFFECTIVE. RESPECTED.
DISCOVER WHY LEADING INTERVENTIONALISTS OFFER MILD® TO TREAT LUMBAR SPINAL
STENOSIS (LSS).
WHAT MILD® PHYSICIANS ARE SAYING
CLINICALLY SIGNIFICANT OUTCOMES FOR MILD®
LONG-TERM EFFICACY
MiDAS ENCORE 2-Year, Level 1 Study: mild® provides clinically meaningful,
statistically significant improvements in mobility5, ODI7, and pain reduction on
the NPRS.8
EFFECTIVE FOR PATIENTS WITH COMORBIDITIES
MiDAS ENCORE 2-Year, Level 1 Study: mild® is effective in treating patients with
multiple stenosis types, including lateral and foraminal stenosis.8
SAFETY PROFILE EQUIVALENT TO AN ESI
MiDAS ENCORE 2-Year, Level 1 Study: mild® has an equivalent safety profile to an
ESI, but with lasting results. In this study, there were no statistically
significant differences in the safety profile between study groups.1
mild® is a minimally invasive procedure typically performed in an outpatient
setting using local anesthetics and light sedation. The nature of the procedure
carries inherent risks that do not apply to receiving an epidural steroid
injection.
PATIENTS STAND 7X LONGER & WALK 16X FARTHER
Cleveland Clinic 1-Year Study: Patients’ average standing time improved from 8
min. to 56 min. and average walking distance increased from 246 ft. to 3,956
ft.2
PATIENTS AVOID BACK SURGERY
Cleveland Clinic 5-Year Study: 88% of mild® patients avoided back surgery for at
least 5 years while experiencing significant symptom relief.14
PATIENT SATISFACTION
MiDAS ENCORE 2-Year Study: Patients reported an 85% patient satisfaction rate
with the mild® Procedure.7
View the mild® Procedure’s Body of Evidence
1.
2.
3.
4.
5.
6.
LOOK FOR THE LIGAMENT, IT’S A COMMON PROBLEM
HLF contributes up to 85% of spinal canal narrowing.10
IDENTIFYING MILD® CANDIDATES
IDENTIFY NEUROGENIC CLAUDICATION SYMPTOMS
* Presents as discomfort in back, legs or buttocks with ambulation that
improves with flexion - often referred to as “shopping cart syndrome.”
CONFIRM HYPERTROPHIC LIGAMENTUM FLAVUM (HLF)
* Review images to identify HLF ≥ 2.5 mm.8
EFFECTIVE FOR PATIENTS WITH COMORBIDITIES
* Just 5% of MiDAS ENCORE patients presented with central canal stenosis only.8
EXPANDING MINIMALLY INVASIVE LSS TREATMENT OPTIONS
> Several cross disciplinary leaders in the interventional spine community,
> representing many surgical and pain societies, have formed a consensus group
> to evaluate the current state of LSS diagnosis and treatment, and to make
> recommendations to guide clinical practice in this emerging area.
> -The MIST Guidelines
1.
THE NEXT STEP TO PROVIDING PATIENTS LASTING RESULTS MAY BE MILD®
REMOVE THE PROBLEM.
LEAVE NOTHING BEHIND.
With new therapies emerging, you can now think differently about treating LSS
patients. Move beyond palliative therapies and address a major root cause of
LSS, without leaving any implants behind. If HLF is present, advance to mild® to
provide patients long-term relief using a therapy that has a safety profile
equivalent to an ESI, but with lasting results.1
More Info
MILD® PROCEDURAL BENEFITS
EFFICIENT OUTPATIENT PROCEDURE
* No general anesthesia, implants, stitches, steroids or opioids required
* Can be performed through a single, tiny incision under still- and live-image
fluoroscopic guidance, which allows streamlined access to multiple levels and
sides, reducing non-treating time
LOW RISK PROFILE
* Clinically proven safety profile equivalent to an ESI1
REMOVES THE PROBLEM
* mild® removes a major root cause of neurogenic claudication by debulking the
hypertrophic ligamentum flavum, which reduces the compression of the nerves
QUICK RECOVERY TIME
* Patients typically resume normal activity within 24 hours with no
restrictions8
DOESN’T BURN BRIDGES
* No implants and no major structural anatomy altered2
* No co-occurring or future treatment options eliminated
1.
2.
3.
4.
5.
MILD® PROCEDURAL BENEFITS
QUICK RECOVERY TIME EFFICIENT OUTPATIENT PROCEDURE LOW RISK PROFILE REMOVES THE
PROBLEM DOESN’T BURN BRIDGES QUICK RECOVERY TIME • Patients typically resume
normal activity within 24 hours with no restrictions 8 EFFICIENT OUTPATIENT
PROCEDURE • No general anesthesia, implants, stitches, steroids or opioids
required • Can be performed through a single, tiny incision under still- and
live-image fluoroscopic guidance, which allows streamlined access to multiple
levels and sides, reducing non-treating time LOW RISK PROFILE • Clinically
proven safety profile equivalent to an ESI 1 REMOVES THE PROBLEM • mild ®
removes a major root cause of neurogenic claudication by debulking the
hypertrophic ligamentum flavum, which reduces the compression of the nerves
DOESN’T BURN BRIDGES • No implants and no major structural anatomy altered 2 •
No co-occurring or future treatment options eliminated
VISUALIZING THE MILD® PROCEDURE
LUMBAR DECOMPRESSION PERFORMED THROUGH AN INCISION SMALLER THAN THE SIZE OF A
BABY ASPIRIN (5.1 MM).
WATCH THE MILD® PROCEDURE
STRONG SAFETY PROFILE1
SAFETY PROFILE EQUIVALENT TO AN ESI1
* Decompression performed posterior to the epidural space with no general
anesthesia, implants, stitches, steroids or opioids required. Generally
performed with local anesthetic and light sedation.
EFFICIENT OUTPATIENT PROCEDURE
* Can be performed through a single, tiny incision under still-and live-image
fluoroscopic guidance, which allows streamlined access to multiple levels and
sides
* Patients typically resume normal activity within 24 hours with no
restrictions8
MAINTAINS STRUCTURAL ANATOMY
* Does not significantly alter the structural anatomy of the spine or eliminate
future treatment options2
1.
2.
3.
WIDELY ADOPTED4
TRAINING & EDUCATION
IN COLLABORATION WITH THE NATION’S LEADING MILD® PRACTITIONERS, WE PROVIDE
TRAINING AND EDUCATION TO PHYSICIANS AND PRACTICES ACROSS THE U.S.
MASTERING THE MILD® PROCEDURE- TRAINING OBJECTIVES:
1
IDENTIFY AND TREAT THE RIGHT PATIENTS
2
ESTABLISH COMFORT AND CLINICAL EFFICIENCY
3
REFINE YOUR TREATMENT ALGORITHM
Familiarity with fluoroscopic imaging techniques and expertise in the epidural
space are key qualification requirements for performing mild®.
For interventional pain fellows interested in learning more, please visit our
mild360 page.
REQUEST TRAINING
REQUEST TRAINING
View More
www.vertosmed.com Request Physician Training
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BODY OF EVIDENCE: TWO LEVEL 1 STUDIES. FIVE-YEAR DURABILITY.
Percutaneous Image-guided Lumbar Decompression and Outpatient Laminectomy for
the Treatment of Lumbar Spinal Stenosis: A 2-Year Medicare Claims Benchmark
Study
Publication— Interventional Pain Medicine, 2024
Author— Staats PS, Dorsi MJ, Reece DE, Strand NH, Poree L, Hagedorn JM
Lumbar Spinal Stenosis and Minimally Invasive Lumbar Decompression: A Narrative
Review
Publication— Journal of Pain Research, 2023
Author— Hongjie Yuan, Xiaobin Yi
The MOTION study: Two-year results of a real-world randomized controlled trial
of the mild®® procedure for treatment of lumbar spinal stenosis
Publication— PAIN Practice, 2023
Author— Deer TR, Chafin TB, Costandi SJ, et.al.
Pain Management Interventions in Lumbar Spinal Stenosis: A Literature Review
Publication— Cureus, 2023
Author— Malik KN, Giberson C, Ballard M, et.al.
Percutaneous Image-guided Lumbar Decompression and Interspinous Spacers for the
Treatment of Lumbar Spinal Stenosis: A 2-year Medicare Claims Benchmark Study
Publication— PAIN Practice, 2023
Author— Staats P, Hagedorn J, Reece E, et al.
The American Society of Pain and Neuroscience (ASPN) Evidence-Based Clinical
Guideline of Interventional Treatments for Low Back Pain
Publication— Journal of Pain Research, 2022
Author— Sayed D, Grider J, Strand N, et al.
Best Practices for Minimally Invasive Lumbar Spinal Stenosis Treatment 2.0
(MIST): Consensus Guidance from the American Society of Pain and Neuroscience
(ASPN)
Publication— Journal of Pain Research, 2022
Author— Deer TR, Grider JS, Pope JE, et al.
The MOTION Study: A Randomized Controlled Trial with Objective Real-World
Outcomes for Lumbar Spinal Stenosis Patients Treated with the mild®® Procedure
1-Year Results
Publication— Pain Medicine, 2022
Author— Deer T, Costandi S, Washabaugh E, et al.
Understanding Whether Chronic Lower Back Pain Patients with Lumbar Spinal
Stenosis Benefit From Multiple Epidural Steroid Injections Prior to the mild®®
Procedure
Publication— Pain Management, 2021
Author— Pryzbylkowski P, Bux A, Chandwani K, et al.
Minimally Invasive Direct Decompression for Lumbar Spinal Stenosis: Impact of
Multiple Prior Epidural Steroid Injections
Publication— Pain Management, 2021
Author— Pryzbylkowski P, Bux A, Chandwani K, et al.
A Retrospective, Single-Center, Quantitative Analysis of Adverse Events in
Patients Undergoing Spinal Stenosis with Neurogenic Claudication Using a Novel
Percutaneous Direct Lumbar Decompression Strategy
Publication— Journal of Pain Research, 2021
Author— Pope JE, Deer TR, Falowski SM
Objective Real-World Outcomes of Patients Suffering from Painful Neurogenic
Claudication Treated with the mild®® Procedure: Interim 6-Month Report of a
Randomized Controlled Trial
Publication— Journal of Pain Research, 2021
Author— Deer T, Kim C, Wahezi SE, Qu H, Sayed D
The Durability of Minimally Invasive Lumbar Decompression Procedure in Patients
with Symptomatic Lumbar Spinal Stenosis: Long-Term Follow-Up
Publication— PAIN Practice, 2021
Author— Mekhail N, Costandi S, Nageeb G, et al.
Minimally Invasive Lumbar Decompression: A Review of Indications, Techniques,
Efficacy and Safety
Publication— Pain Management, 2020
Author— Jain S, Deer TR, Sayed D, et al.
The Impact of Age on the Outcomes of Minimally Invasive Lumbar Decompression for
Lumbar Spinal Stenosis
Publication— Medical Devices (Auckland), 2020
Author— Mekhail NA, Costandi SJ, Armanyous S, et al.
The MIST Guidelines: The Lumbar Spinal Stenosis Consensus Group Guidelines for
Minimally Invasive Spine Treatment
Publication— PAIN Practice, 2019
Author— Deer, TR, Grider JS, Pope JE, et al.
mild®® Is an Effective Treatment for Lumbar Spinal Stenosis with Neurogenic
Claudication: MiDAS ENCORE Randomized …
Publication— Pain Physician, 2016
Author— Benyamin RM, Staats PS
The 2-Year Cost-Effectiveness of 3 Options to Treat Lumbar Spinal Stenosis
Patients
Publication— PAIN Practice, 2015
Author— Udeh BL, Costandi S, Dalton JE, Ghosh R, Yousef H, Mekhail N.
Long-Term Safety and Efficacy of Minimally Invasive Lumbar Decompression
Procedure for the Treatment of Lumbar Spinal Stenosis with Neurogenic
Claudication
Publication— Regional Anesthesia & Pain Medicine, 2018
Author— Staats PS, Chafin TB, Golovac S, et al.
MiDAS ENCORE: Randomized Controlled Clinical Trial Report of 6-Month Results
Publication— Pain Physician, 2016
Author— Staats PS, Benyamin RM
mild®® Procedure for Lumbar Decompression: A Review
Publication— PAIN Practice, 2013
Author— Chen H, Kelling J
A Double-Blind, Randomized, Prospective Study of Epidural Steroid Injection vs.
the mild®® Procedure in Patients with Symptomatic Lumbar Spinal Stenosis
Publication— PAIN Practice, 2012
Author— Brown LL
Long-Term Results of Percutaneous Lumbar Decompression mild®® for Spinal
Stenosis
Publication— PAIN Practice, 2012
Author— Mekhail N, Vallejo R, Coleman MH, Benyamin RM
Study of Percutaneous Lumbar Decompression and Treatment Algorithm for Patients
Suffering from Neurogenic Claudication
Publication— Pain Physician, 2012
Author— Deer TR, Kim CK, Bowman RG, Ranson MT, Yee BS
Functional and Patient-Reported Outcomes in Symptomatic Lumbar Spinal Stenosis
Following Percutaneous Decompression
Publication— PAIN Practice, 2012
Author— Mekhail N, Costandi S, Abraham B, Samuel SW
mild®® Interlaminar Decompression for the Treatment of Lumbar Spinal Stenosis:
Procedure Description and Case Series with 1-Year Follow-Up
Publication— The Clinical Journal of Pain, 2012
Author— Wong WH
mild®® Procedure: Single-Site Experience Prospective IRB Study
Publication— The Clinical Journal of Pain, 2012
Author— Basu S
Systematic Safety Review and Meta-Analysis of Procedural Experience Using
Percutaneous Access to Treat Symptomatic Lumbar Spinal Stenosis
Publication— Pain Medicine, 2012
Author— Levy RM, Deer TR
Minimally Invasive Lumbar Decompression for the Treatment of Spinal Stenosis of
the Lumbar Spine
Publication— Pain Management, 2012
Author— Deer TR
A Novel Method for Treatment of Lumbar Spinal Stenosis in High-Risk Surgical
Candidates: Pilot Study Experience with Percutaneous Remodeling of Ligamentum
Flavum and Lamina
Publication— Journal of Neurosurgery: Spine, 2011
Author— Chopko BW
mild®® Lumbar Decompression for the Treatment of Lumbar Spinal Stenosis
Publication— The Neuroradiology Journal, 2011
Author— Schomer DF, Solsberg D, Wong W, Chopko BW.
Minimally Invasive Lumbar Decompression for Spinal Stenosis
Publication— Neurosurgical Review, 2011
Author— Deer TR, Mekhail N, Lopez G, Amirdelfan K
New Image-Guided Ultra-Minimally Invasive Lumbar Decompression Method: The
mild®® Procedure
Publication— Pain Physician, 2010
Author— Deer TR, Kapural L
MiDAS I (mild®® Decompression Alternative to Open Surgery): A Preliminary Report
of a Prospective, Multi-Center Clinical Study
Publication— Pain Physician, 2010
Author— Chopko BW, Caraway DL
Retrospective Review of Patient Self-Reported Improvement and Post-Procedure
Findings for mild®® (Minimally Invasive Lumbar Decompression)
Publication— Pain Physician, 2010
Author— Lingreen R, Grider JS
View More
REIMBURSEMENT
VERTOS MEDICAL MAKES IT SIMPLE TO SET UP CLAIMS, SO YOU CAN GET BACK TO TREATING
YOUR PATIENTS.
MILD® IS NATIONALLY COVERED BY ALL MEDICARE AND MEDICARE ADVANTAGE PLAN TYPES
Vertos can assist with setting up claims and address any questions you may have.
As a general notice, Vertos provides procedure-specific information about codes
that may be used for procedures that employ our technology and products.
Reimbursement methods vary by payor and site of service.
As commercial insurance coverage for the mild® Procedure varies by payor policy,
we encourage providers to contact non-Medicare payors to confirm coverage prior
to performing the procedure. If you have questions or are interested in
commercial policy advocacy, please contact our Market Access Team.
General Coverage Terms Billing Guide
FOR CODING, COVERAGE AND REIMBURSEMENT SUPPORT:
PHONE
(855) 848-6453
EMAIL
reimbursement@vertosmed.com
PAYOR AND POLICY SUPPORT:
EMAIL
marketaccess@vertosmed.com
PAYOR ADVOCACY INTEREST FORM
Link to Form
RESOURCES
QUICK ACCESS TO TOOLS AND INFORMATION ABOUT MILD®
RESOURCE LIBRARY
Free On-Demand Webcasts
Learn more about the mild® Procedure through didactic lectures, discussions and
a compendium of case reviews from other leading experts.
Access On-Demand Webcasts
Billing Guide
Please see the Vertos Medical guide for simple claim set-up instructions and
contact information.
Download Billing Guide
mild® Instructions for Use
The Vertos mild® Devices are a sterile, single-use system of specialized lumbar
decompression surgical tools used to remove small portions of the lamina and
preferentially resect and debulk the thickened ligamentum flavum.
Download IFU
View More
FREQUENTLY ASKED QUESTIONS
How does the mild® Procedure’s safety profile compare to other decompression
options?
Click here to view the “Minimally Invasive Lumbar Decompression: A Review of
Indications, Techniques, Efficacy and Safety” and references for this chart.
What spinous levels are treatable and how many levels can be treated?
All lumbar levels, including L5-S1, are treatable with mild®. The physician
should decide which levels to treat based on symptom and imaging assessment.
How long does it generally take for patients to report improvement after having
the mild® Procedure?
Patients typically resume normal activity within 24 hours with no restrictions
after having the mild® Procedure.8 Many patients notice an improvement in their
ability to stand longer and walk farther within a few days, as shown in the
Functional Outcome Improvement charts from the Cleveland Clinic Study at 1-Year
below, and in some cases immediately after having mild®.2
For some patients, it’s a matter of rebuilding strength after being
deconditioned by the debilitating effects of LSS, such as a limited ability to
walk. In these cases, it may take three to twelve months post-mild® to achieve
full benefits.
Can a patient have mild® and still receive other therapies?
Yes. mild® doesn’t cause major anatomical changes and therefore doesn’t burn
bridges if other treatments are required in the future.2 mild® does not
eliminate any treatment options.
Can mild® be performed on a patient who has had previous back surgery?
The physician would need to assess the patient’s health and disease state to
identify if the patient is a candidate. Typically, if the physician can access
the HLF safely, mild® can be performed.
What treatment settings are required?
mild® is currently reimbursed in the outpatient hospital or ASC setting.
Is the mild® Procedure covered by insurance?
Yes, the mild® Procedure is covered nationwide by Medicare and Medicare
Advantage. Commercial coverage and other plans vary. View our General Coverage
Terms.
How can I get trained?
In collaboration with the nation’s leading mild® practitioners, we provide
training and education to physicians and practices across the US. Visit the
Training & Education section above to learn more.
How can I get in contact with my local representative?
Please complete the contact form and someone will get back to you shortly.
How can I obtain educational materials about the mild® Procedure for my
practice?
Vertos Medical provides a variety of print and digital resources to mild®
providers to help educate their patients and staff. Please contact your local
representative or contact us for assistance.
Is mild® offered outside of the United States?
Our long-term vision is to create global patient access to the mild® therapy. We
are actively planning for international expansion and have a CE Mark, but are
not yet ready to initiate our efforts. To stay updated on our progress, please
visit our website’s newsroom.
Why was there limited access to mild® from 2014-2017?
To better serve the healthcare community, a CED study was conducted to obtain
national Medicare coverage for the mild® Procedure. During the time that we
focused on those efforts, active selling was temporarily paused until the
current national Medicare coverage policy was issued. There were no product
defects, safety issues or regulatory concerns associated with the pause.
View More
MILD® IN THE SPOTLIGHT: NEWS & EVENTS
THE LATEST NEWS STORIES, EVENTS, COMPANY NEWS RELEASES, AND MEDIA COVERAGE ON
MILD®.
View NewsView Events
AMERICAN SOCIETY OF PAIN & NEUROSCIENCE ANNUAL CONFERENCE 2024
JULY 11-14, 2024
Celebrating over 100,000 mild® PATIENTS at ASPN 2024!
Dr. David Dickerson and other leading mild® providers captivated a packed room
with their insights on how they elevated their practice with mild®. Attendees
learned the latest clinical findings and proven strategies to expand patient
access and build a thriving practice with mild®. mild® providers were also able
to share success stories recorded live at our custom recording booth!
LEARN MORE
1.
THE MOTION STUDY: TWO-YEAR RESULTS OF A PROSPECTIVE MULTICENTER RANDOMIZED
CONTROLLED STUDY OF MILD®
SEPTEMBER 3, 2023
This study measures the impact of the mild® Procedure as a first-line therapy on
patients otherwise receiving conventional medical management (CMM) for lumbar
spinal stenosis (LSS) with neurogenic claudication (NC) secondary to
hypertrophic ligamentum flavum. It demonstrated that the mild® Procedure, when
combined with CMM, is superior in providing improved function and decreased pain
when compared to CMM alone. These results provide support for early
interventional treatment of symptomatic LSS with the mild® Procedure.
LEARN MORE
1.
Follow Us
Contact Us
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Contact Us
Vertos Medical Inc. is a medical device company committed to developing
innovative, minimally invasive treatments for lumbar spinal stenosis (LSS).
mild®, its proprietary technology, is a safe and minimally invasive outpatient
procedure designed to restore space in the spinal canal through an incision
smaller than the size of a baby aspirin.
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© 2024 Vertos Medical, Inc. All Rights Reserved.
* Compliance Info
* Clinical References
* Terms of Use
* Privacy Policy
* Patents
Benyamin RM, Staats PS, MiDAS ENCORE Investigators. mild® is an effective
treatment for lumbar spinal stenosis with neurogenic claudication: MiDAS ENCORE
Randomized Controlled Trial. Pain Physician. 2016;19(4):229-242.
Mekhail N, Costandi S, Abraham B, Samuel SW. Functional and patient-reported
outcomes in symptomatic lumbar spinal stenosis following percutaneous
decompression. Pain Pract. 2012;12(6):417-425.
doi:10.1111/j.1533-2500.2012.00565.x.
2012 data from Health Market Sciences report for Vertos Medical 2013.
Data on file with Vertos Medical.
Staats PS, Chafin TB, Golvac S, et al. Long-term safety and efficacy of
minimally invasive lumbar decompression procedure for the treatment of lumbar
spinal stenosis with neurogenic claudication: 2-year results of MiDAS ENCORE.
Reg Anesth Pain Med. 2018;43:789-794. doi:10.1097/AAP.0000000000000868.
Based on mild® Procedure data collected in all clinical studies. Major
complications are defined as dural tear and blood loss requiring transfusion.
MiDAS ENCORE responder data. On file with Vertos Medical.
Jain S, Deer TR, Sayed D, et al. Minimally invasive lumbar decompression: a
review of indications, techniques, efficacy and safety. Pain Manag. 2020;10(5).
https://doi.org/10.2217/pmt-2020-0037. Accessed June 1, 2020.
Deer TR, Grider JS, Pope JE, et al. The MIST Guidelines: the Lumbar Spinal
Stenosis Consensus Group guidelines for minimally invasive spine treatment. Pain
Pract. 2019;19(3)250-274. doi:10.1111/papr.12744.
Hansson T, Suzuki N, Hebelka H, Gaulitz A. The narrowing of the lumbar spinal
canal during loaded MRI: the effects of the disc and ligamentum flavum. Eur
Spine J. 2009;18(5):679-686. doi:10.1007/s00586-009-0919-7.
Treatment options shown are commonly offered once conservative therapies (e.g.,
physical therapy, pain medications, chiropractic) are not providing adequate
relief. This is not intended to be a complete list of all treatments available.
Doctors typically recommend treatments based on their safety profile9, typically
prioritizing low risk/less aggressive procedures before higher risk/more
aggressive procedures, but will determine which treatments are appropriate for
their patients.
The mild® Procedure is a minimally invasive treatment for lumbar spinal
stenosis. As with most surgical procedures, serious adverse events, some of
which can be fatal, can occur, including heart attack, cardiac arrest (heart
stops beating), stroke, and embolism (blood or fat that migrates to the lungs or
heart). Other risks include infection and bleeding, spinal cord and nerve injury
that can, in rare instances, cause paralysis. This procedure is not for
everyone. Physicians should discuss potential risks with patients. For complete
information regarding indications for use, warnings, precautions, and methods of
use, please reference the devices’ Instructions for Use.
Patient stories on this website reflect the results experienced by individuals
who have undergone the mild® Procedure. Patients are not compensated for their
testimonial. The mild® Procedure is intended to treat lumbar spinal stenosis
(LSS) caused by ligamentum flavum hypertrophy. Although patients may experience
relief from the procedure, individual results may vary. Individuals may have
symptoms persist or evolve or other conditions that require ongoing medication
or additional treatments. Please consult with your doctor to determine if this
procedure is right for you.
Reimbursement, especially coding, is dynamic and changes every year. Laws and
regulations involving reimbursement are also complex and change frequently.
Providers are responsible for determining medical necessity and reporting the
codes that accurately describe the work that is done and the products and
procedures that are furnished to patients. For this reason, Vertos Medical
strongly recommends that you consult with your payers, your specialty society,
or the AMA CPT regarding coding, coverage and payment.
Vertos Medical cannot guarantee coding, coverage, or payment for products or
procedures. View our Billing Guide.
Vertos is an equal employment opportunity workplace committed to pursuing and
hiring a diverse workforce. We strive to grow our team with highly skilled
people who share our culture and values. All qualified applicants will receive
consideration for employment without regard to sex, age, color, race, religion,
marital status, national origin, ancestry, sexual orientation, gender identity,
physical & mental disability, medical condition, genetic information, veteran
status, or any other basis protected by federal, state or local law.
Hall S, Bartleson JD, Onofrio BM, Baker HL Jr, Okazaki H, O’Duffy JD. Lumbar
spinal stenosis. Clinical features, diagnostic procedures, and results of
surgical treatment in 68 patients. Ann Intern Med. 1985;103(2):271-275.
doi:10.7326/0003-4819-103-2-271.
Kalichman L, Cole R, Kim DH, et al. Spinal stenosis prevalence & association
with symptoms: The Framingham Study. Spine J. 2009;9(7):545-550.
doi:10.1016/j.spinee.2009.03.005.
Fukusaki M, Kobayashi I, Hara T, Sumikawa K. Symptoms of spinal stenosis do not
improve after epidural steroid injection. Clin J Pain. 1998;14(2):148-151.
doi:10.1097/00002508-199806000-00010.
Mekhail N, Costandi S, Nageeb G, Ekladios C, Saied O. The durability of
minimally invasive lumbar decompression procedure in patients with symptomatic
lumbar spinal stenosis: Long-term follow-up [published online ahead of print,
2021 May 4]. Pain Pract. 2021;10.1111/papr.13020. doi:10.1111/papr.13020
Friedly JL, Comstock BA, Turner JA, et al. Long-Term Effects of Repeated
Injections of Local Anesthetic With or Without Corticosteroid for Lumbar Spinal
Stenosis: A Randomized Trial. Arch Phys Med Rehabil. 2017;98(8):1499-1507.e2.
doi:10.1016/j.apmr.2017.02.029
Pope J, Deer TR, Falowski SM. A retrospective, single-center, quantitative
analysis of adverse events in patients undergoing spinal stenosis with
neurogenic claudication using a novel percutaneous direct lumbar decompression
strategy. J Pain Res. 2021;14:1909-1913. doi: 10.2147/JPR.S304997
Pryzbylkowski P, Bux A, Chandwani K, et al. Minimally invasive direct
decompression for lumbar spinal stenosis: impact of multiple prior epidural
steroid injections [published online ahead of print, 2021 Aug 4]. Pain Manag.
2021;10.2217/pmt-2021-0056. doi:10.2217/pmt-2021-0056
Abstract presented at: American Society of Pain and Neuroscience Annual
Conference; July 22-25, 2021; Miami Beach, FL.
Mobility Matters: Low Back Pain in America, Harris Poll Survey, 2022. View data
and full summary here.
Deer TR, Grider JS, Pope JE, et al. Best Practices for Minimally Invasive Lumbar
Spinal Stenosis Treatment 2.0 (MIST): Consensus Guidance from the American
Society of Pain and Neuroscience (ASPN). J Pain Res. 2022;15:1325-1354.
Published 2022 May 5. doi:10.2147/JPR.S355285.