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Via Disc
Started by bedrock
Risk is relatively low - biggest risk of course is diskitis. There are ways to mitigate this.
Their data isn’t the strongest. I can’t recall details completely but had a low ‘n’ and there was pretty significant improvement in pain score in the placebo group as well
Their data isn’t the strongest. I can’t recall details completely but had a low ‘n’ and there was pretty significant improvement in pain score in the placebo group as well
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Placebo arm was saline
Both arms improved
Fda said it was a drug so they are now running a acellular study with just NP
Both arms improved
Fda said it was a drug so they are now running a acellular study with just NP
It’s a T code
For those curious for the paper
Considering the 50 percent responder rate for NS, I’m offering 50 percent discount off the cost of the viadisc for NS injection
Doctor fee = 0.
Only makes sense if physicians were either wRVU compensated OR they collected facility fee.
Wow. The audacity of a literal zero professional fee!
Really tired of seeing a nice facility fee and then only table scraps for the expertise and risk of the physician performing the procedure.
Really tired of seeing a nice facility fee and then only table scraps for the expertise and risk of the physician performing the procedure.
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I thought it was weird that they did a NS injection as a control. Isn't the point of this procedure to add hydration/volume to a fibrotic and underhydrated disc? So why have a control arm that essentially does that?
Clearly intradiscal saline should not have a 50% improvement, but they aren't helping themselves by adding a control arm that's just a less efficacious treatment arm.
Possibly a sham injection? IDK.. the study heaps scepticism on itself for having such a high responder rate in the control arm for sure.
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I made an assumption. you’re prolly right
If you were frisky and had a good admin you could negotiate an RVU. Take the profit and divide it in half/convert that to units. I’m not frisky enough for that conversation of late.
That’s not bad given the simplicity of the procedure
You have to be HOPD MD and get some juice on the SOS for this to work.
Bad choice of words. Via disc won’t work. But you can make bank in a backroom deal.
Do you think it works? I'm sure you have heard more anecdotes than most of us
Interesting
1. What’s a ballpark rate for it?
2. If it’s cash only why use ViaDisc and not other regenerative med injectates?
Federal facility and pure salary so it's all monopoly money. I saw that it's a category III CPT code which explains why there is no professional fee. I wonder if/when they will change categories and how that will affect reimbursement.
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I thought you left the VA for private practice?
New gig is next summer
Makes sense.
How much does via disc treatment cost a patient all included (in cash)?
And is it repeated sometimes? How often?
That is nuts.
If it was my back I’d opt for intracept, anyway. Even cash for intracept would be more worth it because once and done.
The rule for engagement rings and cash-price medical procedures is 3 months' salary. Now, you've got a friend in the diamond business.
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