TranS1 Inc., a Delaware corporation (the "Company") has previously disclosed that healthcare providers rely on third-party payors, including private health insurance plans, to pay for all or a portion of the costs and fees associated with the Company's pre-sacral approach and AxiaLIF interbody fusion procedure. Historically, there has been a lack of consistent reimbursement for the specific CPT code (used to describe specific services performed by physicians when submitting reimbursement claims) used to describe the AxiaLIF interbody fusion surgery, such that some physicians have found it difficult to obtain reimbursement for the procedure.
However, the Company has recently confirmed that Hawaii Medical Service Association ("HMSA"), the Blue Cross and Blue Shield provider for Hawaii, will provide reimbursement for CPT codes 0195T and 0196T, which are the CPT codes associated with the Company's pre-sacral AxiaLIF procedure, when medical necessity criteria, as defined by the state of Hawaii, is met. HMSA serves approximately 700 thousand members in Hawaii.
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