Subtle second-trimester ultrasound markers should be interpreted in the context of a background risk based on the patients age, history, genetic screening, and serum screening results. Can J Urol. Harding D, Giles SL, Brown MRD, et al. ISUOG Interim Guidance on ultrasound for Zika virus infection in pregnancy: information for healthcare professionals. Anthem becomes the third national payor to cover the treatment after Aetna and Blue Cross Blue Shield Association gave it positive coverage decisions in April 2021 and August 2018, respectively. Recommendations for the management of a pregnant individuals with suspected Zika virus infection include: The 2021 CDC guideline on the treatment of sexually transmitted infections includes management recommendations for individuals who are diagnosed with text in the second half of pregnancy. . The primary endpoint was achieved in 96% (110/115) of participants. Crouzet S, Blana A, Murat FJ, et al. Ultrasound averages range from $54 to $100. Chin JL, Billia M, Relle J, et al. According to the FDA labeling, a nonunion is considered to be established when the fracture site shows no visibly progressive signs of healing. The pain severity score was significantly reduced from a baseline mean of 7.1 (Standard Deviation[SD] 2.08) (4-10; 95% confidence interval [CI], 6.07-8.15), to 2.5 (SD 1.4) (0-5; 95% CI, 1.81-3.2) at 1 month. Focal therapies are proposed as less invasive treatment options when compared to radical prostatectomy or radiation therapy. Mol Urol. 2016; 47(4):530-532. The updated file enables providers to separately bill for the professional component (26) and the technical component (TC). Low-Intensity Pulsed Ultrasound for Fracture Nonunion. Bone pain is a common complaint for individuals with metastatic cancer to the bone. For more information about your rights, look at the explanation of benefits you will receive for that medical claim. Colombel M, Gelet A. Ultrasound Tech in San Antonio, Texas, United States. Added medically necessary indication when there is a known or suspected exposure to the Zika virus to the Clinical Indications section. Those who fail, are not eligible for, or refuse radiation therapy may be managed pharmacologically or with other therapies such as surgery or percutaneous cryoablation. Retroperitoneal ultrasound (US) studies represent the ultrasonic imaging of retroperitoneal organs for the diagnosis and management of abnormalities that occur within the retroperitoneum. Focused ultrasound for the treatment of bone metastases: effectiveness and feasibility. Routine Tests During Pregnancy. Kenkhuis MJA, Bakker M, Bardi F, ET AL. An abnormal finding on second-trimester ultrasonography that identifies a major congenital anomaly significantly increases the risk of genetic abnormality and warrants further counseling, including the discussion of various prenatal testing strategies. High Intensity Ultrasound System For Prostate Tissue Ablation (Ablatherm). High intensity focused ultrasound (HIFU) or magnetic resonance guided focused ultrasound (MRgFUS) involves the use of a focused high-intensity convergent ultrasound beam to destroy targeted tissue in a small, focused area via sonication. 2014; 114(4):532-540. Available at: Testing for Zika Virus Infections. NOTE: Information about the cost of this plan (called the premium) will be . TULSA is delivered by a system which includes real-time MR thermometry as well as robotically-driven directional thermal ultrasound in a closed loop system to ablate whole gland or targeted areas of the prostate. Geiger D, Napoli A, Conchiglia A, et al. ; AUA Prostate Cancer Clinical Guideline Update Panel. There are currently two ultrasound ablative techniques. This LCD supplements but does not replace, modify or supersede existing Medicare applicable National Coverage Determinations (NCDs) or payment policy rules and regulations for Ultrasound, Soft Tissues of Head and Neck. Eur Urol. Eur Urol. MPTAC review. Focal salvage high-intensity focused ultrasound in radiorecurrent prostate cancer. The prospective, nonrandomized, investigator-initiated, single-arm, single-center phase 1 study included 11 individuals with localized, histopathologically verified, radio-recurrent prostate cancer. 510K Premarket notification. The authors concluded, Although newer modalities hold promise, we need higher quality studies to assess patient important outcomes to guide evidence-based clinical practice.. BJU Int. 2004; 58(4):382-390. Therapies for clinically localized prostate cancer [Internet]. 2022 Prenatal ultrasound diagnosis (Dx) codes Please note that this information is a guideline. Ultrasound imaging, also called ultrasound scanning or sonography, is a method of obtaining images of internal organs by sending high-frequency sound waves into the body. Adverse events included grade 1 or 2 hematuria, urinary tract infections or acute urinary retention, and grade 3 epididymitis. 2011; 108(8 Pt 2):E196-E201. 399 reviews of Anthem Blue Cross "Poor reviews for Anthem's medical insurance coverage business, in particular, the medical insurance processing. Updated Coding section with 10/01/2017 ICD-10-CM diagnosis code changes. 2008; 53(6):1194-1201. Anthem BlueCross Coverage for: Individual + Family | Plan Type: HMO Anthem Value Ded HMO 750/25/40/25% The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Revised June 27, 2022. Updated grammar in medically necessary statement regarding maternal risk factors from including but not limited to, hypertension, diabetes, sickle cell disease preeclampsia), substance abuse, or hyperemesis gravidarum to including but not limited to, hypertension, diabetes or sickle cell disease), preeclampsia, substance abuse or hyperemesis gravidarum. American College of Obstetricians and Gynecologists (ACOG) and Society for Maternal Fetal Medicine (SMFM). Available at: Centers for Disease Control and Prevention (CDC). The new Multiple Delivery policy has the same . Following treatment, no residual tumor was found in 46.2% of cases. Removed ICD-9 codes from Coding section. Crouzet and colleagues (2014) conducted a large prospective case series (n=1002) to evaluate rates of survival and morbidity over the long term in subjects treated with HIFU (Ablatherm) for localized disease. Magnetic resonance imaging-guided transurethral ultrasound ablation of prostate tissue in patients with localized prostate cancer: a prospective Phase 1 clinical trial. -12/31/2022 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual + Family | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan.The SBC shows you how you and the plan would share the cost for covered health care services. Blana A, Walter B, Rogenhofer S, Wieland WF. Due to variances in utilization patterns, each plan may choose whether to adopt a particular Clinical UM Guideline. HIFU was comparable to the median survival in standard chemotherapy. Eur Urology. First analysis of the long-term results with transrectal HIFU in patients with localised prostate cancer. Matthew Thornton Health Plan, Inc./Anthem Blue Cross and Blue Shield Coverage for: Individual + Family | Plan Type: HMO Anthem Silver Pathway X Enhanced HMO 5500/20% S05 ($0 Preferred Virtual Care + $0 Select Drugs) The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. New 2020. In 2012, the FDA approved via the Premarket Application (PMA) process, the ExAblate System (InSightec, Ltd, Dallas, TX) for pain palliation in individuals 18 years and older who have metastatic bone cancer pain and have failed, are not candidates for or have refused standard radiation therapy. Evaluate for threatened, incomplete, or missed abortion; Non-reassuring fetal heart rate monitoring; Assess amniotic fluid volume in post-term gestation. Updated References. MPTAC review. Elterman D, Li W, Hatiboglu G, et al. BJU Int. Focal therapy for localized prostate cancer: a phase I/II trial. The difference in response rates between MRgFUS and placebo at 3 months was significant (64.3% versus 20.0%). Step 2: After you become pregnant, you will join HIP Maternity. Accessed on September 13, 2022. The authors theorized that the high rate of salvage treatment at 3 years follow-up could be attributed to suboptimal staging and treatment. When services are Not Medically Necessary:For the procedure and diagnosis codes listed above when criteria are not met. Thompson I, Thrasher JB, Aus G, et al. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation. Prostate Cancer Prostatic Dis. Alldred SK, Takwoingi Y, Guo B, et al. In brief: classifications in brief: Mirels' classification: metastatic disease in long bones and impending pathologic fracture. Ultrasound examinations, particularly if obtained soon after onset of infection, may not identify prenatal features of congenital Zika syndrome and structural manifestations can be identified at later points in pregnancy. Federal and State law, as well as contract language, and Medical Policy take precedence over Clinical UM Guidelines. Added not medically necessary statement for TULSA. 2014; 7(4):270-281. Nat Clin Pract Urol. Centers for Disease Control and Prevention (CDC). The SBC shows you how you and the plan would share the cost for covered health care services. Kanthabalan A, Peters M, Van Vulpen M, et al. It is not intended to be a recommendation of one product over another, and is not intended to represent a complete listing of all products available. Find top doctors who perform Rectal Ultrasound near you in Anthem, AZ. Shi Y, Ying X, Hu X, et al. The current evidence does not show that clinical outcomes of those undergoing TULSA is similar to those undergoing established alternatives. MPTAC review. The 2018 ACR/AIUM/ACOG/SMFM/SRU practice parameter notes Obstetrical ultrasound should be performed only when there is a valid medical reason, and the lowest possible ultrasonic exposure settings should be used to gain the necessary diagnostic information.. Bonekamp D, Wolf MB, Roethke MC, et al. Obstetric Care Consensus. While there is no reliable evidence to support ultrasounds performed during pregnancy will harm a fetus, there is general agreement that the casual use of ultrasonography during pregnancy should be avoided (ACOG, 2018). A complete retroperitoneal US study visualizes all the structures or organs within the anatomic description of that study. First analysis of the long-term results with transrectal hifu in patients with localized prostate cancer % cases! 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