How can ZimVie support me?

As a potential candidate for anterior vertebral body tethering for idiopathic scoliosis, ZimVie offers The Tether – Patient Access Program with PRIA Healthcare. This service is intended to help establish coverage with commercial insurers who are not currently covering The Tether. Contact reimbursement specialists at PRIA Healthcare at (860) 321-1356 from 8:30am-5:00pm EST M-F or tether@priahealthcare.com for assistance.

How do I know if my current insurance provider covers surgery with The Tether™?

Contact reimbursement specialists at PRIA Healthcare at (860) 321-1356 from 8:30am-5:00pm EST M-F or tether@priahealthcare.com to learn which insurance plans cover anterior vertebral body tethering for idiopathic scoliosis.

I’ve been denied coverage by my current insurance provider, what do I do next?

One way we can help you obtain coverage is to support your appeal of a denial via processes that are established by your insurance company. Contact reimbursement specialists at PRIA Healthcare at (860) 321-1356 from 8:30am-5:00pm EST M-F or tether@priahealthcare.com for assistance with your appeal.

How do I find a trained surgeon in my area?

Only certified surgeons are listed on the surgeon locator at www.myscoliosis.com/surgeon-locator. Tether certification includes detailed instruction on indications, patient selection, HDE approval and surgical technique overview. It also includes a hands-on experience where surgeons simulate a real surgical procedure on a torso model, utilizing the thoracoscopic approach. The last step is typically a surgical observation, where surgeons spend a day in the O.R. with an experienced faculty member.

The surgeon locator is a free service, helping patients to find qualified surgeons. Since surgeons must choose to be included in the surgeon locator, the surgeon locator list on www.myscoliosis.com may not represent the complete list of all trained Tether surgeons. You should inquire directly with your surgeon about their Tether training status and surgical experience.

Surgeon Locator

ZimVie's The Tether Patient Access Program with PRIA Healthcare

Available: Monday – Friday 8:30AM – 5:00pm Eastern
Toll-Free: 860-321-1356
Email: tether@priahealthcare.com

Disclaimer The coding and reimbursement information and data provided by ZimVie is presented for informational purposes only and is accurate as of its date of publication. Healthcare providers are responsible for all decisions related to documenting, coding, reporting/billing, and pre-authorizing procedures. It is the healthcare provider’s responsibility to report only the codes which accurately describe the products and services furnished to individual patients. Reimbursement is dynamic; laws and regulations related to reimbursement change frequently. For these reasons, healthcare providers are advised to contact Medicare or any other specific payer if they have any questions regarding coding, coverage, or payment for items or services. If Providers have questions regarding coding they should refer to the current HCPCS and/or CPT® manual or contact the appropriate Medical Society or the American Medical Association (AMA). ZimVie makes no representation or warranty regarding this information, its completeness or accuracy and bears no responsibility for the results or consequences of the use of this information. (CPT® codes and descriptors are copyrighted by the AMA.)