G2147

Leg pain measured by the visual analog scale (vas) at one year (9 to 15 months) postoperatively was greater than 3.0 and leg pain measured by the visual analog scale (vas) within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated less than an improvement of 5.0

Short Description: Leg pain vas 9-15mo > 3

Coverage Code: Carrier judgment

Action Code: Add procedure or modifier code

Date Added: January 1, 2020

Effective Date: January 1, 2020

Termination Date:

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