The CMS has decided that percutaneous image-guided lumbar decompression for the treatment of lumbar spinal stenosis will be covered only for use in clinical trials. The agency said more evidence is needed. Pain intervention specialist Dr. Lawrence Kamhi said good studies have supported use of the procedure. "If the government can make the burden of proof of the utility of a procedure or a therapy impossibly onerous, our health care system will soon have no covered treatments for medical illness," Kamhi said.
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