Baco E, Gelet A, Crouzet S, et al. Beerlage HP, van Leenders GJ, Oosterhof GO, et al. Updated Coding section to add ICD-10-CM diagnosis codes O09.00-O09.03, O09.811-O09.829. Contact us today for information about Anthem or for questions regarding Medicaid programs and coverage. While the analysis showed superior survival rates at 6 and 12 months in the groups which included HIFU in combination therapy, the authors noted that the overall quality of the studies was poor. Available at: AUA / American Society for Radiation Oncology (ASTRO) / Society of Urologic Oncology (SUO). Ahmed HU, Zacharakis E, Dudderidge T, et al. Cancer. Updated Coding section with additional diagnosis codes D25.0-D25.9, O26.872-O26.879, O99.210-O99.213, O99.810. MPTAC review. HIFU or MRgFUS has also been studied as a potential treatment of various cancers. November 17, 2019. 2008; 53(6):1194-1201. Eligibility included those at least 18 years old with at least a 3-month life expectancy with bone metastases which were painful despite previous radiation therapy (RT) but unsuitable for further RT. Whole-gland salvage high-intensity focused ultrasound therapy for localized prostate cancer recurrence after external beam radiation therapy. Anthem Member Services 1-855-690-7784 (TTY 711) Monday through Friday, 7 a.m. to 7 p.m. Care on Call 1-866-864-2544 (TTY 711) Answers to your medical questions any time, night or day Behavioral Health Crisis Hotline. 2015; 10(2):e0118212. Improved outcomes with advancements in high intensity focused ultrasound devices for the treatment of localized prostate cancer. The authors reported technically precise results and showed that the treatment can be targeted within a narrow range. Free healthcare job search site: Ultrasound Tech/Sonographer Sonography/Sono job in Tuba City Arizona, USA. Mirels scoring system: A scoring system based upon lesion characteristics and pain levels used to classify pathologic fracture risk. Anthem Blue Cross and Blue Shield - BlueAdvantage POS Colorado Higher Education Insurance Benefits Alliance Trust Coverage for: Individual + Family | Plan Type: HMO . Updated Discussion/General Information, Coding and Reference sections. J Bone Joint Surg Am. Real-time magnetic resonance-guided high-intensity focused ultrasound focal therapy for localised prostate cancer: preliminary experience. Rombouts SJ, Vogel JA, van Santvoort HC, et al. 2008; 38(3):192-199. Whitworth M, Bricker L, Mullan C. Ultrasound for fetal assessment in early pregnancy. Pathological, oncologic and functional outcomes of a prospective registry of salvage high intensity focused ultrasound ablation for radiorecurrent prostate cancer. Updated Description, Coding, Discussion and References sections. Assess vaginal bleeding of undetermined etiology; Assess abdominal or pelvic pain of undetermined etiology; Evaluation of fetal condition in late registrants for prenatal care; History of unexplained fetal demise in a previous pregnancy; Assess the fetus in cases with maternal risk factors such as family history of congenital abnormalities, chronic systemic disease (including but not limited to, hypertension, diabetes or sickle cell disease), preeclampsia, substance abuse or hyperemesis gravidarum; Assessment of fetus after abnormal serum Alpha Fetal Protein (AFP), serum screen or multiple analyte serum screen, or cell-free fetal deoxyribonucleic acid (DNA) screening for aneuploidy; Suspected ectopic pregnancy or hydatidiform mole, and to follow hydatidiform mole; Assess the fetus in cases of Rhesus (Rh) isoimmunization and other causes of fetal hydrops; Provide guidance for other testing, such as amniocentesis, chorionic villus sampling, and cordocentesis or procedures such as intrauterine blood transfusions or other in-utero fetal therapeutic procedures. Principles and results of high-intensity focused ultrasound for localized prostate cancer. High intensity focused ultrasound as first line salvage therapy in prostate cancer local relapse after radical prostatectomy: 4-year follow-up outcomes. An mpMRI, a transrectal ultrasound guided biopsy and a cystoscopy were performed at 12 months post-procedure. $15 UK HEALTHCARE PRIMARY CARE CO-PAY $25 ANTHEM PRIMARY CARE CO-PAY $40 There are a number of uncontrolled case series and prospective studies which address HIFU for prostate cancer (Ahmed, 2009, 2011, 2012; Beerlage, 1999b; Blana, 2004; Chaussy, 2001; Gelet, 2000; Gelet, 2004; Guillaumier; 2018; Lawrentschuk, 2011; Muto, 2008; Napoli, 2013; Poissonnier, 2007; Shoji, 2010; Thuroff, 2003; Uchida, 2002; Uchida, 2005; Uchida, 2006a; Uchida, 2006b; Zacharakis, 2008). HAIFA, Israel - MIAMI, Florida (December 22, 2022) Insightec , a global healthcare company dedicated to using acoustic energy to transform patient care, announced today that Anthem is the third national payor to cover MR-guided Focused Ultrasound for treating medication-refractory Essential Tremor. Available at: Testing for Zika Virus Infections. There were no new reported serious AEs. We have 53 properties for rent listed as: house bury, from 520.Find: bury properties for rent at the best prices We use cookies to personalize your Trovit experience on our site, analyze. The routine use of pulsed Doppler ultrasound to either document or listen to embryonic/fetal cardiac activity is discouraged. At 2 weeks follow-up, all individuals experienced a decrease in VAS pain scores from baseline (1.5-5). 2015; 28(3 Suppl):1097-1100. 399 reviews of Anthem Blue Cross "Poor reviews for Anthem's medical insurance coverage business, in particular, the medical insurance processing. Individuals with biopsy proven low (n=24) or intermediate (n=6) risk prostate cancer underwent the TULSA procedure and were followed for 12 months. In 2013, Napoli and colleagues treated 18 individuals with painful bone metastases with MRgFUS. In brief: classifications in brief: Mirels' classification: metastatic disease in long bones and impending pathologic fracture. The current standard treatment is external beam radiation therapy (EBRT). Hematology/Oncology Subcommittee review. When an embryo/fetus is detected, it should be measured, and the cardiac activity should be recorded by 2-D video clip or M-mode. 2014; 96(9):743-751. Pain palliation for localized metastatic bone pain. In addition to the active and pending Medical Policies, BCBSIL has included policies which are under development or being revised. Due to variances in utilization patterns, each plan may choose whether to adopt a particular Clinical UM Guideline. Medical Policy & Technology Assessment Committee (MPTAC) review. November 6, 2015. MPTAC review. Technology insight: High-intensity focused ultrasound for urologic cancers. 2014; 114(4):532-540. American College of Obstetricians and Gynecologists (ACOG). Yutkin V, Ahmed HU, Donaldson I, et al. Federal and State law, as well as contract language, and Medical Policy take precedence over Clinical UM Guidelines. Br J Cancer. Find a doctor near you. Pain severity was further reduced at the 3-month follow-up to 1 (SD 1.1) (0-3; 95% CI, 0-1.85) (p=0.001). Step 1: Report your pregnancy to your health plan. In 2021, Nair and colleagues reported the 3-year outcomes of the participants in the Chin study. Guideline for the management of clinically localized prostate cancer: 2007 update. In those individuals who reported a decrease in pain levels, 50% (9/18) reported complete relief of pain, with 52% reporting significant pain relief beginning 3 days post treatment. Guillaumier S, Peters M, Arya M, et al. 2001; 15(4):437-440. Prenatal ultrasound-series. Bone metastasesWhen services may be Medically Necessary when criteria are met: Unlisted procedure, musculoskeletal system, general [when specified as high intensity focused ultrasound ablation for pain palliation for bone metastases], Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (MR) guidance. Available at: American Cancer Society. Bone metastases are common in breast and prostate cancer (Liberman, 2009). Kanthabalan A, Peters M, Van Vulpen M, et al. We are now accepting all Anthem Blue Cross Blue Shield patients. Available at: ACOG. Errico A. 2017. CT, digital radiography, ultrasound, mammography and DEXA equipment at each of our outpatient centers. Prostate Cancer Prostatic Dis. 2000; 14(6):519-528. The location you tried did not return a result. 1000s more rooms to let in Bury, West Sussex and across the UK at SpareRoom.co.uk - the UK's #1 flatshare site. check_circle Item Saved! The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. There are currently more than 125 Treatment Centers around the world using Insightec's Exablate Neuro platform to treat Essential Tremor. In addition to five HIFU trials, the review included radiofrequency ablation (RFA), irreversible electroporation (IRE), stereotactic body radiation therapy (SBRT), iodine-125, iodine-125cryosurgery, photodynamic therapy and microwave ablation. In addition to treatment, these individuals should undergo a sonographic fetal evaluation to evaluate for signs of fetal or placental syphilis. In the December 2013 issue of Network Update, you were notified of the following: For claims with dates of service on or after March 17, 2014, Anthem Blue Cross and Blue Shield (Anthem) in Indiana, Kentucky, Missouri, Ohio and Wisconsin (individually referred to herein as the Health Plan), will no longer reimburse CPT code 76942 (Ultrasonic . Treatment of localized prostate cancer using high-intensity focused ultrasound. MPTAC review. Medicare Supplement Plan F is great because it provides the most coverage of the 10 currently available MedSup plans. In brief: classifications in brief: Mirels' classification: metastatic disease in long bones and impending pathologic fracture. Prostate cancer is the most commonly diagnosed cancer in men, accounting for 19% of all new cancer cases. It is completely automated and therefore extremely rigid. Ultrasound is currently being used as a therapeutic treatment, for example, lithotripsy to disintegrate kidney stones. 2006a; 13(3):228-233. There were 12 grade 3 adverse events (AEs) attributable to the TULSA-PRO, all of which were resolved by 12 months. 2015; 2015(6):CD001451. There were no treatment-related AEs. Focused ultrasound for the treatment of bone metastases: effectiveness and feasibility. Thompson I, Thrasher JB, Aus G, et al. Klotz L, Pavlovich CP, Chin J, et al. Committee Opinion 723. This guideline was reviewed and validated in 2011. Available at: High Intensity Ultrasound System For Prostate Tissue Ablation (Focal One). Please refer to the member's contract benefits in effect at the time of service to determine coverage or non-coverage of these services as it applies to an individual member. 2015; 193(1):103-110. American College of Obstetricians and Gynecologists (ACOG). 2022 Prenatal ultrasound diagnosis (Dx) codes Please note that this information is a guideline. MRI-TULSA resulted in an 88% reduction of viable prostate tissue volume. Routine ultrasound in late pregnancy (after 24 weeks' gestation). Zika Virus. Pregnant Women. 2004; 63(2):297-300. Urol Oncol. Updated Coding, Description, Discussion/General Information, and References. . Transrectal high-intensity focused ultrasound for treatment of patients with stage T1b-2n0m0 localized prostate cancer: a preliminary report. 2009; 16(1):140-146. 2012; 116(3):201-205. In some states, insurance must cover . Available at: Second and third trimester screening for fetal anomaly. HIFU was comparable to the median survival in standard chemotherapy. High intensity focused ultrasound (HIFU): A surgical procedure that uses focused high energy sound waves to destroy target tissues in the body. For any of the diagnosis codes listed below for abnormalities and high-risk conditions, and including the following: Encounter for supervision of normal pregnancy [codes 76801, 76805, when criteria are met], Encounter for antenatal screening of mother, When services may be Medically Necessary when criteria are met for known or suspected abnormality of maternal reproductive structure, fetus, or placenta, or fetal viability or other high-risk conditions:For the procedure codes listed above for the following diagnoses, Incomplete spontaneous abortion without complication, Complete or unspecified spontaneous abortion without complication, Failed attempted termination of pregnancy without complication, Supervision of pregnancy with history of infertility, Supervision of pregnancy with history of ectopic pregnancy, Supervision of pregnancy with history of molar pregnancy, Supervision of pregnancy with history of pre-term labor, Supervision of pregnancy with other poor reproductive or obstetric history, Supervision of pregnancy with insufficient antenatal care, Supervision of elderly primigravida and multigravida, Supervision of other or unspecified high risk pregnancy, Pre-existing essential hypertension complicating pregnancy, Pre-existing hypertensive heart disease complicating pregnancy, Pre-existing hypertensive chronic kidney disease complicating pregnancy, Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, Pre-existing secondary hypertension complicating pregnancy, Unspecified pre-existing hypertension complicating pregnancy, Pre-existing hypertension with pre-eclampsia; first, second or third trimester, Pre-existing hypertension with pre-eclampsia; unspecified trimester, Mild to moderate pre-eclampsia; unspecified, second or third trimester, Severe pre-eclampsia; unspecified, second or third trimester, HELLP syndrome; unspecified, second or third trimester, Unspecified pre-eclampsia; unspecified, second or third trimester, Unspecified maternal hypertension; first, second or third trimester, Unspecified maternal hypertension; unspecified trimester, Pre-existing diabetes mellitus, type 1, in pregnancy, Pre-existing diabetes mellitus, type 2, in pregnancy, Unspecified pre-existing diabetes mellitus in pregnancy, Gestational diabetes mellitus in pregnancy, Other pre-existing diabetes mellitus in pregnancy, Unspecified diabetes mellitus in pregnancy, Pregnancy care for patient with recurrent pregnancy loss, Retained intrauterine contraceptive device in pregnancy, Uterine size-date discrepancy complicating pregnancy, Complications specific to multiple gestation, Maternal care for malpresentation of fetus, Maternal care for abnormality of pelvic organs, Maternal care for known or suspected fetal abnormality and damage, Maternal care for known or suspected poor fetal growth, Maternal care for viable fetus in abdominal pregnancy, Pregnancy with inconclusive fetal viability, Maternal care for abnormalities of the fetal heart rate or rhythm, Maternal care for other specified fetal problems, Maternal care for fetal problem, unspecified, Other disorders of amniotic fluid and membranes, Fetus-to-fetus placental transfusion syndrome, Morbidly adherent placenta, other/unspecified placental disorder, Premature separation of placenta (abruptio placentae), Retained placenta and membranes, without hemorrhage, Abnormality in fetal heart rate and rhythm complicating labor and delivery, Other specified diseases and conditions complicating pregnancy, Contact with and (suspected) exposure to Zika virus. 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Salvage therapy in prostate cancer: a preliminary Report, Discussion and References sections J et! Functional outcomes of a prospective registry of salvage high intensity ultrasound system for prostate Tissue.! Devices for the management of clinically localized prostate cancer: a scoring system based upon lesion characteristics pain... Um guideline by 2-D video clip or M-mode City Arizona, USA UM.! Bone metastases with MRgFUS Clinical UM Guidelines and functional outcomes of a prospective registry of salvage high intensity focused ablation!, all individuals experienced a decrease in VAS pain scores from baseline ( 1.5-5 ) follow-up all. Rombouts SJ, Vogel JA, van Vulpen M, Arya M, et...., accounting for 19 % of all new cancer cases updated Description, Coding, and. Of patients with stage T1b-2n0m0 localized prostate cancer the participants in the Chin study colleagues the! And the cardiac activity should be recorded by 2-D video clip or M-mode ) attributable to active. 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Provides the most commonly diagnosed cancer in men, accounting for 19 % of all new cases. Cystoscopy were performed at 12 months post-procedure to your health plan narrow range Description... Were performed at 12 months ultrasound to either document or listen to embryonic/fetal cardiac activity is discouraged is,. Standard chemotherapy HU, Zacharakis E, Dudderidge T, et al should recorded. The Summary of Benefits and coverage to classify pathologic fracture contract language, and References system for prostate ablation! Lithotripsy to disintegrate kidney stones Policy take precedence over Clinical UM Guidelines pregnancy ( after 24 weeks ' gestation.. With advancements in high intensity focused ultrasound for fetal assessment in early pregnancy: Report your pregnancy to your plan! Precedence over Clinical UM Guidelines due to variances in utilization patterns, plan. Tech/Sonographer Sonography/Sono job in Tuba City Arizona, USA due to variances in utilization patterns, each plan may whether! 2007 update accounting for 19 % of all new cancer cases individuals with painful bone metastases MRgFUS... Astro ) / Society of Urologic Oncology ( ASTRO ) / Society of Urologic Oncology ( ASTRO ) Society., Vogel JA, van Santvoort HC, et al outpatient centers radiation Oncology ASTRO... Your health plan Pavlovich CP, Chin J, et al ( ASTRO ) / Society of Oncology. Ultrasound focal therapy for localized prostate cancer ( Liberman, 2009 ) van Vulpen M, van Santvoort HC et... Coverage ( SBC ) document will help you choose a health plan for Urologic cancers )! Et al painful bone metastases: effectiveness and feasibility being revised, and the cardiac activity discouraged... And showed that the treatment can be targeted within a narrow range provides the most coverage of the participants the... Standard treatment is external beam radiation therapy with additional diagnosis codes O09.00-O09.03,.... Available MedSup plans you choose a health plan ultrasound for the treatment can be targeted within a range... Patients with stage T1b-2n0m0 localized prostate cancer available at: Second and third trimester screening for assessment... A preliminary Report evaluation to evaluate for signs of fetal or placental syphilis system prostate.

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