This CPB has been revised to modify the criteria for: (i) cervical laminectomy / cervical laminoplasty; (ii) thoracic laminectomy; and (iii) lumbar laminectomy. 

For (i): The following have been deleted -- “Presence of neck or cervico-brachial pain with findings of weakness, myelopathy, or sensory deficit”, “Member has physical and neurological abnormalities confirming the historical findings of nerve root or spinal cord compression (e.g., reflex change, sensory loss, weakness) at or below the level of the lesion and may have gait or sphincter disturbance (evidence of cervical radiculopathy or myelopathy)”, and “Member's activities of daily living are limited by persistent neck or cervico-brachial pain”; AND the following has been added: “Member has signs or symptoms of neural compression (radiculopathy, neurogenic claudication, myelopathy) associated with the levels being treated”, and “Member's activities of daily living are limited by symptoms of neural compression”.

For (ii): The following have been deleted -- “Presence of thoracic pain secondary to nerve root or spinal cord compression with findings of weakness, myelopathy, or sensory deficit”, “Member has physical and neurological abnormalities confirming the historical findings of nerve root or spinal cord compression (e.g., reflex change, sensory loss, weakness) at or below the level of the lesion and may have gait or sphincter disturbance (evidence of thoracic radiculopathy or myelopathy)”, and “Member's activities of daily living are limited by persistent pain”; AND the following has been added: “Member has signs or symptoms of neural compression (radiculopathy, neurogenic claudication, myelopathy) associated with the levels being treated”, and “Member's activities of daily living are limited by symptoms of neural compression”.

For (iii): The following have been deleted – “Member's activities of daily living are limited by persistent pain radiating from the back down to the lower extremity”, and “Presence of neurological abnormalities (e.g., reflex change, positive straight leg raising, sensory loss, weakness) persist on examination and correspond to the specific affected nerve root”; AND the following has been added: “Member has signs or symptoms of neural compression (radiculopathy, neurogenic claudication, myelopathy) associated with the levels being treated”, and “Member's activities of daily living are limited by symptoms of neural compression”.