Special conditions and requirements apply to workers who are considering having a lumbar fusion or lumbar intervertebral artificial disc replacement due to uncomplicated degenerative disc disease (referred to as lumbar surgery candidates as defined in WAC 296-20-12065
). Lumbar surgery candidates must successfully complete a SIMP to obtain authorization for a lumbar fusion or a lumbar intervertebral artificial disc replacement. Refer to WAC 296-20-12095
for referral and prior authorization information.
[Statutory Authority: RCW 70.14.120
, 51.04.020, 51.04.030. WSR 09-20-040, § 296-20-12060, filed 9/30/09, effective 11/1/09.]