On November 1, HCSC (BCBS Illinois, BCBS Montana, BCBS New Mexico, BCBS Oklahoma, BCBS Texas) posted a draft updated lumbar fusion medical policy for comment through November 16. The draft policy establishes conditions for which lumbar spinal fusion may be considered medically necessary by HCSC. ISASS submitted comments specific to HCSC’s designation of lumbar fusion to treat degenerative disc disease (DDD) as not medically necessary and provided HCSC with a copy of the Society’s lumbar fusion policy. The final policy will be released by HCSC in the coming weeks.